UNCOVER Madeira Island Member Card

READY TO EXPERIENCE MADEIRA TO THE FULLEST?

Fill in this fun little form to get your official UNCOVER MADEIRA ISLAND Member Card! 🏝️✨

With your card, you’ll unlock access to exclusive events, partners discounts and awesome perks all semester (or year) long just for being part of the Erasmus & international mobility crew 🌍🎟️

Let’s make your time in Madeira unforgettable — starting now! 💃

Disclaimer: By submitting this application, you agree to our Terms & Conditions and acknowledge that you have read our Privacy Policy.

First Name *

Last Name *

Personal Email *

Birthday *

Phone Number *

Phone

Nationality *

Home University

e.g. University of Pardubice, Universidad de Murcia, University of Lodz

Mobility Program *

Which mobility Program are you participating?

Which Program? *

e.g. Erasmus+, European, Solidarity Corps, ...

Hosting University / Organization? *

e.g. Where are you doing your mobility program in Madeira?

Start Date *

When do you start your program

End Date *

When do you finish your program

Proof of Enrollment or Mobility Program Confirmation *

Upload file

Drag & drop or click to browse (max. 10MB)

The document must include your full name and the name of your university or organization.

Upload your Photo *

Upload file

Drag & drop or click to browse (max. 10MB)

A clear headshot (like a passport photo) — smile recommended

Instagram

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