Personal Information

    Name
    Surname
    Address of residence
    Postcode
    Fiscal Code/VAT number (only if available)
    City
    Country
    Phone
    Email
    Certified email (for Italian only)
    Affiliation/Institution
    Occupation or Position held (Optional)

     

    Data to be inserted in the invoice in case of Public Body:

    Name/Organisation
    Fiscal Code/VAT number
    Certified email (for Italian only)
    Address
    Postcode
    City
    Country

     

    Dietary and medical requirements

    Specific dietary requirements
    Severe food allergies

     

    VISA INFORMATION (To be filled in by non EU citizens only)

    I need an invitation letter from the organisers for visa application/internal clearance

     

    By submitting this form, you accept our privacy policy and the conditions below.
    According to the “Personal Data Protection Code” (Regulation (EU) 2016/679), I hereby authorise Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise 'Giuseppe Caporale' in Teramo to be photographed and/or recorded during the event and/or my work activities. I also give my authorisation for dissemination, publication and exhibition of such pictures and videos for educational purposes. I you will be able anytime to withdraw this authorisation by sending an e-mail to formazione@izs.it.

    According to Regulation (EU) 2016/679 and its following amendments, I hereby authorise Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise in Teramo to handle the data included in this registration form for the purpose of my participation in the Conference, for the following data processing and data storage, intended to provide information for future sending of informative materials and brochures on training activities, as well as for the carrying out of statistical surveys. At any moment, however, I can demand the cancellation of my data by sending an e-mail to formazione@izs.it.

    Please note that Ud'Anet srl is the data Processor Responsible. (Email: info@udanet.it  - Phone number: +39 0871 360600 - Website: www.udanet.it).

    I hereby declares to be aware that:

    • the holder for the data processing is the Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZS-Teramo), Campo Boario, Teramo, Italy;
    • the data can be processed both in electronic and paper format;
    • the delivery of the data is mandatory for the purposes above mentioned and the lack of the requested information will make the transmission of the above mentioned information impossible to manage;
    • the data will be kept in order to manage data analysis until the undersigned will ask for cancellation;
    • any specific right, with reference to the collected personal data, are described by the Article 7 of the Legislative Decree 196/2003 and the Regulation (EU) 2016/679. At any time I can obtain confirmation of the data presence or absence, know data content and origin, verify data exactness and/or request data integration and/or updating, or rectification or cancellation, as duly specified in the notice available in IZS-Teramo offices or by contacting IZS-Teramo - Campo Boario - 64100 Teramo - Ph. + 39 0861/332670 - Fax + 39 0861/332251 - Email: formazione@izs.it.