Register

Become an FBA member by filling out the registration form below. All fields marked with an asterisk (*) are required.

Personal information

Your contact information, department, function and profile will be visible to all members.

Mr. Ms. Mrs.

First Name *

Surname *

Telephone number *

Mobile phone number

E-mail address *

Department *

Function / job title

Additional information

Upload profile photo

Maximum upload size: 500.00 MB

Valid images are '.jpg', '.png', '.gif' and '.bmp'.

Name of Bank *

If your bank is not on the list, please select 'Other bank than listed below'.

You selected 'Other'. Please give us additional information about the Bank you represent.

Name of Bank *

Sector / Bank activity *

Address *

Post Office box

Optional:

Additional information

Upload bank logo *

Maximum upload size: 500.00 MB

Valid images are '.jpg', '.png', '.gif' and '.bmp'.

General telephone number *

Fax number

Website

E-mail address

Number of employees *

Established in The Netherlands since *