REGISTRATION FORM

National Insurance Number/Personal ID (optional field)

Last Name*

First Name*

Email*

Mobile phone (es. 3347596431)*

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City*

Degree*

Specialization*

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

Privacy

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 be disclosed to externale 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, info@morecomunicazione.it