Application Form

"*" indicates required fields

Institutions that shall become EYDK members would be positioned as “Working Group Members” until the next Advisory Board elections in 2023. Memberships are subject to board approval. It is kindly requested that each candidate institution shall share, in addition to the brief introduction to and the overall impact perspective of the institution, the contacts of;

Its main representative member who would be a high-ranking decision-maker and work within EYDK as a market enabler,
the representative member’s assistant, principal clerk or the secretariat,
two shadowing members who could represent the member institution in the absence of the representative member and
the corporate communications responsible person.

Institution’s Name*

Full Commercial Name*

Address*

Website*

(if applicable)

Twitter

(if applicable)

Logo*

Accepted file types: jpg, gif, png, Max. file size: 5 MB.

Brief Information*

Representatives of the Institution in EYDK

Representative Member’s Name:*

First Last

Title*

Phone*

Email*

Do you have Assistant / Principal Clerk / Secretariat etc?*

Representative Member’s Assistant / Principal Clerk / Secretariat:

Title*

Name*

First Last

Phone*

Email*

1st Shadowing Member’s:

Title*

Name*

First Last

Phone*

Email*

2nd Shadowing Member’s:

Title*

Name*

First Last

Phone*

Email*

Corporate Communications Responsible’s:

Title*

Name*

First Last

Phone*

Email*

Comments

This field is for validation purposes and should be left unchanged.