ICACh Registration Title Mr.Ms.DrDr hab.Prof. First name* Last Name* Organisation UniversityIndustryBusinessGovernmentOther Organisation Name* E-mail address* Form of participation oral presentationposterposter presentationpassive participantexhibitor Post-conference publication Przemysł Chemiczny/Science Technology and Innovation Additional information Conference dinner Abstract - acceptable types file: doc, docx, pdf, odt Insert a file: Abstract II - acceptable types file: doc, docx, pdf, odt Insert a file: If you want to receive an invoice, please fill in the field below Invoice details Organisation Name Street and number Postal Code City Tax Identification Number In accordance with the art. 6, item 1, lit. a REGULATION (EU) 2016/679 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL from 27th April 2016 on the protection of individuals in connection with the processing of personal data and on the free movement of such data, I hereby give consent for my personal data included in the application form to be processed. In accordance with the art. 13 section 1 and paragraph 2 of the General Data Protection Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free ovement of such data, and repealing Directive 95/46 / EC (General Data Protection Regulation GDPR), (Journal of Laws EU L 119, of 4.5.2016, p. 1) I inform that: 1. The administrator of your personal data is the Rector of the University of Applied Sciences in Tarnów, based in Tarnów, Mickiewicza 8. 2. Contact details of the data protection officer: e-mail: email@example.com, tel. 14 6316643. 3. The personal data provided in the form will be processed for the purpose of recording the participants of 1st International Conference on Applied Chemistry. 4. Personal data contained in the form will be stored for 1 year from the end of the event. 5. You have the right to access your data (and receive a copy of it), the right to rectify, change, limit processing the data unnecessary for the purpose of processing and to delete them. 6. You have the right to lodge a complaint at the supervisory body - if you feel that the processing of your personal data violates the provisions of the General Regulation on the Protection of Personal Data of April 27, 2016 PE and R (EU) 7. Providing data is voluntary, however, refusing to provide it is tantamount to being unable to participate in the event.