Registration form

First name (* required)

Last name (* required)

E-mail (* required)

Phone

Registration type (* required)

Speaker

Regular Participant

Organization/ Institution (* required)

Organization Address (* required)

Invoice (* required)

Yes

Tax Payer’s Indentification Number (NIP; if applicable)

Full institutional data for invoice

Presentation title (preliminary) (* required)

Information clause - conference
According to art. 13 of Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation), University of Adam Mickiewicz in Poznan informs that:
1. The administrator of your personal data is the Adam Mickiewicz University in Poznań, H. Wieniawskiego 1, 61-712 Poznań, Poland
2. The data administrator has appointed a Data Protection Officer - contact by email iod@amu.edu.pl
3. Your personal data will be processed for registration, organization and conducting of conference.
4. The basis for the processing of your personal data is the consent to the processing of personal data.
5. Providing data is voluntary, but necessary to achieve the purposes for which they were collected.
6. The data will not be disclosed to external entities, except for cases provided for by the law and entities cooperating with the data administrator in the field of conference implementation.
7. The data will be stored for the period necessary to achieve the above-mentioned purposes, and after that for the period and to the extent required by the provisions of generally applicable law.
8. You have the right to access your data and, subject to legal provisions, the right to rectify, delete, limit processing, the right to transfer data, the right to object to processing. If the processing of personal data is based on your consent, you have the right to withdraw your consent at any time. Withdrawal of consent has consequences for the future. Withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal.
9. You have the right to lodge a complaint with the supervisory body - the President of the Office for Personal Data Protection ul. Stawki 2, 00-193 Warsaw.
10. Your data will not be processed in an automated manner and will not be profiled in accordance with art. 22 GDPR.

Clause for consent to the processing of personal data

I consent to the processing of my personal data for the purposes of registration, organization and conducting of the AMPERE NMR School. I have knowledge that providing data is voluntary, but necessary to achieve the purposes for which it was collected.
(* required)

I acknowledge that the administrator of personal data is the Adam Mickiewicz University in Poznań and I declare that I have fulfilled my information obligation.
(* required)

I declare that I have read and accept all the terms and conditions of the AMPERE NMR School regulations.
(* required)

I consent to the free use and dissemination of my image (including photographs and film documentation) by the Adam Mickiewicz University in Poznań, for the needs of the AMPERE NMR School. This consent is free, unlimited in quantity, time and territory. This consent covers all forms of publication, in particular dissemination on the Internet and publication in promotional and informational materials.
(* required)

I voluntarily consent to the processing of my personal data by the personal data administrator – Adam Mickiewicz University in Poznań, for marketing and advertising purposes and to receive from the Adam Mickiewicz University in Poznań commercial information by means of electronic communication.

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Registration form

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