European Kidney Forum 2022 & EKHA’s 15th anniversary – Registration form
The European Kidney Forum 2022 is going to take place on the 15th of June, from 15:15 to 17:15 CEST in the European Parliament, room A5G-1. This year’s theme is ‘The Decade of the Kidney™: 10 years to bring innovative and green treatments to kidney patients in Europe’. The Forum will be followed by a networking reception to celebrate EKHA’s 15th year anniversary from 17:15 to 19:00 CEST (SPAAK 12th Restaurant, in the European Parliament). Registration for in-person attendance is on a first-come first-served basis and limited to 40 participants. Online participation is also possible upon registration. We kindly invite you to register for in-person or online attendance via this form and look forward to welcoming you on the day. Please note that the below information is required to guarantee your access to the European Parliament building.
Please insert here after your name and surname.
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First name
Surname
Please insert here after your email address.
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example@example.com
You can specify here after your job title.
You can specify here after the name of your organisation.
I will attend the Forum in person from 15:00 to 17:00 CEST :
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YES
NO
I will attend the EKHA 15th anniversary reception from 17:15 to 19:00 CEST :
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YES
NO
If you will attend in person, please indicate if you have any dietary requirements here:
I will attend online (please note that the EKHA’s 15th anniversary can only be attended in person):
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YES
NO
I have a badge to access the Parliament:
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YES
NO
Date of birth
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Jour
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Mois
Année
Date
Nationality
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Type of official identity document (ID card or passport)
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Official identity document number
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DATA PRIVACY STATEMENT
In line with EU Regulation 2016/679, Article 11 and Article 12, EKHA provides the data subjects with the following information: the data controller is EKHA. The data processor is Triumph. The purpose of this processing is to register participants for the upcoming event: European Kidney Forum to be held on 15 June 2022. In order to do so, we are collecting and processing administrative data (e.g. contact details). The data will be stored for 6 months and will not be passed on to third parties without explicit consent. All data subjects have the right of access, the right to rectify the data and the right to recourse consent of data storage concerning him or her by contacting the person designated as being in charge of the processing operation. This data is being processed and used by Triumph. The person designated as being in charge of the processing operation is Giulia Blancato (g.blancato@triumph.com). If you have any questions/objections regarding the above, please email: g.blancato@triumph.com.
I have read the data privacy statement and I:
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Agree with the use of data
Decline the data privacy statement and will end my registration (please note you need to agree with the data privacy statement to complete your registration)
I understand the round table will be filmed (due to the hybrid nature of the meeting) and the meeting will be recorded. If you have any queries/objections about this, please email: g.blancato@triumph.com :
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I, hereby authorize EKHA the right and permission to copyright and/or publish, reproduce, or otherwise use my name, voice, and likeness in video, photographs, written materials, and audio-visual recordings.
Submit
Should be Empty: