Requested Documents

Speaker Moderator


Fiscal Code/Personal ID*

Last Name*

First Name*


Mobile (i.e. 0039 3347596431)*






Place and date of birth* (ie. City dd/mm/yyyy)

Curriculum Vitae (European CV updated to current year in word format or similar)*

Completed transparency form (autograph signature: download form here) *

I hereby AUTHORIZE More Communication Ltd to perform any audio-video filming and to acquire the slides of the report in the context of the event and the publicationof the same on the website (required) YESNO

It also prohibits their use in contexts that compromise their personal dignity and decorum (required) YESNO

The laying and use of the images won’t have any compensation.


All data released will be collected and processed (in manual and IT mode) in compliance with RGDP 679/2016 for the eventual sending of informative material related to this conference. The data will not be disclosed to external subjects, with the exception of banks, correspondence companies, companies appointed by us for the management of services, the scientific secretariat and / or the organizing committee of the conference.

I accept

To allow marketing activities about our events, Ecm events and medical courses about Neuroscience we thank to provide a separate consent.
It is your right to request the updating or cancellation of your data, or to oppose their use by writing to the responsible and data controller: MORE COMUNICAZIONE SRL, Via Cernaia 35, 00185 Rome,