BDVA Associate Member Application Form

This Form is for BDVA ASSOCIATE MEMBER interest. Please SCAN through the form FIRST to ensure you have all details to hand. In particular we recommend not to start filling it in until you have a signed and scanned application form to upload and have correct information on formal company name, VAT number etc. You can find the application form on the BDVA website: http://www.bdva.eu/?q=node/810

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Name Prefix *

First Name *

Middle Name

Last Name *

Job Title *

Street Line 1

Street Line 2

City *

Post Code

Country *

Individual (work) Email *

Individual Phone Number

Individual Web Address

Organization Used Name *

Organisation Legal Name *

Organisation Short Name

Pan European

Yes

Organisation Type

Organisation Size (Total) *

Start Up? *

Yes

Organisation Profile *

Street Line 1 *

Street Line 2

City *

Post Code

Country *

Organisation Phone Number

Organisation Email

Organisation Website *

VAT Number *

If no VAT number state "No VAT Number"

Company Logo *

Please provide a logo for uploading to our website once you have been formally accepted as a member. If due to policy reasons you are not able to do this please upload a dummy file and notify the BDVA (secretariat1@core.bdva.eu) separately (your responsibility)
Files must be less than 2 MB.
Allowed file types: jpg png.

Big Data Value Related Activities *

Is Big Data your core activity? *

Yes

BDV Research Topics (Additional) *

Application Form (Agreement Form) *

This is the main agreement form which should be filled in, signed, dated and preferably stamped by a -legally authorised- person within your organisation. It should then be scanned an uploaded. Note that it is your responsibility to ensure this 'legality' and if subsequently it is proven to not be valid your membership will be terminated but any fees paid will not be refundable. If you wish you may also upload proof of such legal authorisation in another field
Files must be less than 2 MB.
Allowed file types: pdf.

Authorised Signatory is Same as Contact *

Yes

Authorised Signatory First Name *

Authorised Signatory Last Name *

Authorised Signatory Job Title *

Application Form (Proof of Legal Authorisation)

There is no template for this field since this kind of document vary from country to country. So, please upload what is relevant for your organization
Files must be less than 2 MB.
Allowed file types: pdf zip.

Application Form (Cover letter / Additional info)

You may upload a cover letter which we MAY subsequently refer to but it is not guaranteed it will be processed
Files must be less than 2 MB.
Allowed file types: pdf zip.

Application Date

Month

Day

Year

CAPTCHA

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Math question * 1 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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BDVA Associate Member Application Form