Secondyear registration

Fields marked with an asterisk (*) are mandatory.

Personal informationFirst name *
Initials *
Surname prefix
Surname *
Sex *
Date of birth *
Passport photo (mandatory)
Nationality
Do you speak Dutch? *

Student information

If you become a member of the VvAA, you accept the following terms and conditions: I will become a member of VvAA (free up to a year after graduation) and I agree that Panacea will provide my contact details to the VvAA association for the membership and to VvAA Group B.V., so that you will be kept informed via e-mail no more than once a week with information, news, benefits and relevant VvAA products or services.

*The General Terms and Conditions apply to the membership. For this we refer you to vvaa.nl/vereniging-vvaa.

I want to become a member of VvAA (free up to a year after graduation)
I would like to receive the Career Newsletter (career and internship options for medical students)
Student number *
Learning Community *

Contact detailsStreet name + number *
Zip code *
City *
Country *
Email address *
Telephone (mobile) *

Contact details parents/caretakersStreet name + number *
Zip code *
City *
Country *
Telephone *

Website settings

Log-in details

Username
Password
Password confirmation

PaymentIBAN
Name of bank account holder (not the name of the bank) *
BIC

Terms and conditions

Open the files in a new tab, to make sure given answers will not be lost.

You can find the Terms and conditions here.

- Privacy policy

Unfortunately, the Constitution, Internal Regulations and Association Document are currently only available in Dutch.
If you have any questions about the contents, please e-mail: bestuur@panacea.nl

- Statuten
- Huishoudelijk reglement
- Verenigingsdocument

I agree with the Terms and conditions *

Membership fee

ATTENTION: Do not forget to pay the membership fee directly after sending the form, you will be directed to a page from which you can pay. If you do not complete the payment, we can not register you as a member!