Amsterdam University of Applied Sciences

Emergency form - students of Faculty of Sports and Nutrition

We kindly ask you to complete this emergency form, so that we know how to contact you and/or your emergency contact person in the Netherlands in case of an emergency during your stay abroad. If details change during the semester, please complete the form again or contact the International office.

Please note: this form is meant for students who will do a minor or a study trip abroad. If you will do an internship, please complete the emergency form in Centuri.

For direct assistance in case of serious illness, personal accident or death in a foreign country, give direct notice to ACE assistance. Available 24/7 at telephone number: +31 (0) 10 289 3536.

Fields marked with * are mandatory

Personal details

(Allowed extensions: DOC, DOCX, XLS, XLSX, PDF, JPG and JPEG. Maximum file size: 1MB)

Details related to your programme abroad

Details of emergency contact person at home