67th Course of the Radiation Protection High School ”Carlo Polvani” : "The Use of New Technologies in E&T" Javascript is required for this form to work properly Surname*:Campo obbligatorio Name*: Place of birth*:Campo obbligatorio Date of birth*:Campo obbligatorio Email address*:Campo obbligatorio Affiliation*:Campo obbligatorio Tel./Cell.: AIRP and EUTERP members 300€: 01 Regular Fee 400€: 01 Students 100€: 01 NB: A maximum of 1 place can be reserved per session. Invoice needed: NoSì In pursuance of Articles 13 and 14 of EU Regulation 2016/679 (GDPR), the AIRP, as Data Controller, informs you that the data collected through this form will be processed exclusively for the management of the event referred to in the application. The lawfulness of the processing is set out in Article 6 (1), letter a) of the GDPR and requires the data subject’s consent. Your consent to the processing of your personal data is mandatory in order to attend the event. Hence: AGREE to the processing of my personal data by the AIRP, for the purposes indicated above.