Realizing dreams - KBC Banking & Insurance

1. Your applicant details for this activity

Last Name

First Name

E-mail address

Telephone number

What is the connection with KBC?

I am a KBC employee

The organisation is a KBC customer

There is no connection with KBC

The organisation is supported by Cera

Are you a KBC customer?

yes no

customer number

2. Activity details

Name of activity

At which address will the activity take place?

Number

Box number

Postcode

Town/City

On what date will the activity take place?

Activity description

What dream are we helping to make a reality?

What is expected from participating KBC employees during the activity?

Which organisation is arranging the activity?

What is this organisation’s mission?

Please provide the details of the non-profit organisation’s coordinator so we can make arrangements with them:

Last Name

First Name

E-mail address

Telephone number

Minimum number of KBC employees required for the activity

Maximum number of KBC employees required for the activity

What should participants know beforehand?

We will inform the organiser 10 days before the activity takes place whether or not we can provide enough volunteers (incl. list of participants). If it is necessary to know earlier for organisational reasons, indicate the deadline here.

Are there any other details you would like to share?

By registering your initiative, you agree that the KBC entity where you are a customer (for the Bank/Insurance website) / CBC (for the CBC website) may process your personal data for the organisation and follow-up of this initiative, as described in this form. If you provide personal data of a coordinator, you also confirm that the coordinator has been informed about this and agrees with it. More information about the processing of personal data by KBC can be found at www.kbc.be/privacy.