Registration form – Institution

Institutional registration

To proceed with your application, you need fill in two remaining steps :

Fill the below form
Wire the membership fee with following details :

Account holder : Fédération européenne des enseignants en soins infirmiers (FINE Europe)

Bank identification : Crédit Lyonnais LCL

Bank address : LCL, 19 rue des Francs Bourgeois 67000 Strasbourg

Account number : 0000117023Y

IBAN : FR4430002065310000117023Y50

BIC : CRLYFRPP

Communication : “Institutional membership” + Institution name

Once the form submitted, you will get a confirmation email with all the required information to wire the membership fee.
Note: FINE is not subject to VAT and has no tax identification number.

Your Institution (mandatory)

Responsible person's Title (mandatory)

Responsible person's Lastname (mandatory)

Responsible person's Firstname (mandatory)

Institution address (mandatory)

Phone (mandatory)

Contact email (mandatory)

Institution's Email

Insert a description of the institution's activities (programmes offered, number and characteristics of the student body, number of trainers, etc.).

Information concerning the delegate who will represent the institution.

Delegate's Title (mandatory)

Delegate's Lastname (mandatory)

Delegate's Firstname (mandatory)

Delegate's role (mandatory)

Phone (mandatory)

Email (mandatory)

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Institutional registration

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