Subsidy to reimburse the cost of a long-term subscription to the vel’OH! self-service bicycle system.

Communal by-law of 05/07/2021 on the reimbursement of costs related to the "long term" subscription of the vel'OH! self-service bicycle system.

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Applicant's full name

First name

Name

Personnel number

Enter 13 numbers

Address (no. and street)

Postal code

Location

Phone

E-mail

Bank account number (IBAN)

Example: LU25 0019 1254 8746 1000

Bank (BIC code)

Example: BCEELULL

Bank account holder

First name

Name

Documents to enclose:

confirmation of subscription to the vel'OH! service;
proof of payment of the vel'OH! long-term subscription fee;
a copy of the vel'OH! card, stating the applicant's first and last name. If the card has not been requested, proof of valid subscription is required.

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The amount of the municipal subsidy corresponds to the cost of a long-term subscription to the vel'OH! self-service bicycle system, and is granted once per calendar year.

The applicant certifies that the above information is true and accurate. He/she declares that he/she is aware that the grant is subject to restitution if it is obtained as a result of false declarations, inaccurate information or an error by the commune.

Location

Date

Applicant's signature

Clear Signature

RGPD Agreement

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The data collected in this form is necessary for the processing of your file by the Communal Administration and, where applicable, its subcontractors. They are processed fairly and transparently in accordance with the General Data Protection Regulation (RGPD), and kept for the length of time necessary for this processing as well as the applicable legal archiving period. If you have any questions about the processing of personal data, you can contact the Data Protection Officer (DPO) at dpo@mamer.lu.