martedì 22 giugno 2021

I3DA 2021 International Conference

REGISTRATION FORM

*: required. Non Italian subscribers can enter the value 000000 in the field "Tax Code"

 
Family name *

(Cognome / Nom de famille / Nachname / Appellidos)
First name *

(Nome / Prénom / Vorname / Nombre)
Tax code *

(Codice fiscale / Code des impost / Abgabenordnung / Código fiscal)
Place of birth

(Luogo di nascita / Lieu de naissance / Geburtsort / Lugar de nacimiento)
Date of birth -YYYY MM DD-
  
(Data di nascita -AAAA MM GG- / Date de naissance / Datum der Geburt / Fecha de Nacimiento)
Occupation - dealing

(Professione / Profession / Geschäft / Profesión)
Address *

(Indirizzo / Adresse / Anschrift / Dirección)
City *

Città / Ville / Stadt / Ciudad)
Zip code *

(Codice postale / Code postal / Postcode / Código postal)
State / province or district *

(Provincia / État / Land / Estado o provincia)
Country *

(Paese / Pays / Staat / País)
Tel.
Fax
E-mail *

REGISTRATION FEE

 description

before:

2021/06/21

after:

2021/06/21
Note
1) EAA-ASA-AES-IEEE MEMBER 300,00 euro 350,00 euro
2) STANDARD 350,00 euro 400,00 euro
3) STUDENT 250,00 euro 300,00 euro Student rates apply exclusively to Ph.D candidates or research fellows student and are only available to students under 30 years of age.

select your registration fee *

ExtraNumber
EXTRA PAPER (200,00 euro)

Grand total :


PRIVACY POLICY

The Owner of the data handled is Alma Mater Studiorum-Università di Bologna (hereafter referred to as UNIBO), with seat in Bologna (Via Zamboni 33, 40126, Bologna, Italy). The personal information provided by the addressee will also be processed by means of automated-based systems, for the purposes indicated in the present application form and in the forms concerning the participation to this event/course. The relevant person has the right to be given access by UNIBO and by FAM-Fondazione Alma Mater (expressly appointed as Data Processor for the organizational and administrative management of the event/course) to any data that pertain to them and may exercise the right for the data to be supplemented, corrected, updated, etc, as guaranteed under artt. 15, 16, 17, 18, 19, 20, 21, 22 Information and access to personal data, Rectification and erasure and Right to object and automated individual decision-making of the General Data Protection Regulation and art. 7 of the Decree Law n° 196/2003. Although the conferment of data and agreement regarding the processing thereof is optional, these steps do constitute the necessary conditions for the performance of the above described activities. Refusal to give permission may mean that UNIBO and FAM will not be able to accept the application. The addressee grants his/her own permission for his/her personal data to be processed by ticking off the option "accept".

*


FOR INQUIRIES ABOUT REGISTRATION, PLEASE CONTACT THE ADMINISTRATIVE STAFF OF FAM-FONDAZIONE ALMA MATER (comunicazione@fondazionealmamater.it). 

The registration fee may be paid by bank transfer: account payable to Fondazione Alma Mater, UniCredit Banca P.zza Aldrovandi, IBAN IT 41T0200802457000020123112, BIC/SWIFT UNCRITM1PM7.

Please specify name and surname of the participant and the description of payment (e.g. "Course of..."; "International Conference in..."; "Summer School...").

Bank charges are for the participant's account.