Application form logins vzw SuperNils - interactive packages and full access website

Want access to the full offer of non-profit organisation SuperNils?
Then you can use the form below to request the necessary passwords and logins.
We will then need some information from you, to update our records. You fill in this info, in the form.
Before you can submit the document, you must agree to our Privacy Policy, which can be found on this page and in the footer of the website. It explains how we handle the storage and processing of personal data.
As sensitive information and/or medical data are also requested, we are obliged to ask your permission to process these data as well. To do so, please take a moment to download the consent form "sensitive information and medical data" (see on this page), read it, fill it in and sign it for approval. Then scan the document, upload it as an attachment to the form and send everything on. We apologise for this administrative inconvenience, but given the strict regulations we cannot do otherwise. After all, Vzw SuperNils wants to handle these rules correctly because the security of your data is important!