Event registration within the EuroPIM Consortium

Registration form for Events

I want to register for:

Personal Data

First Name*

Last Name*

Your Organisation email address (preferable):

Alternative email address:

Your gender is...

Female

Male

Diverse

Not specified

Nationality:

My English level is (the training is NOT offered to the ones who have B1 or less of English knowledge level):

Between B1 and B2 (closer to B2)

C1 and higher

Your Background

Which organisation are you affiliated to?

Other Organisation:

Full Organisation Address

Street and House Number

City

Zip Code

Country

Do you need an invitation letter for visa or border crossing?

Yes

Date of Birth

Place of Birth

City

Country

Passport Number

Date of Expiry (passport):

Date of arrival:

Date of departure:

Other:

You current study programme:

Master Embedded Systems Engineering (or similar)

Master Digital Transformation (or similar)

European Master in Project Management (or similar)

Industrial Engineering (or similar)

Other

Other:

Academic background / Academic field (e.g. bachelor/previous background or study field):

Computer science

Project management (or similar)

Computer engineering

Digital transformation topics

Other

Other:

In which research area/field of expertise are you engaged?

Matriculation number (only for FH Dortmund students):

Information about seminar/workshop

Will you be teaching/presenting the seminar/workshop during the event?

Yes

If yes, which module?

Duration of the workshop/seminar

Abstract of your presentation

Additional Information

Have you ever participated in the EuroPIM Consortium events?

Yes

If yes, were you funded by one of our projects?

Yes

Final Remarks

Do you have anything else that you want to tell us?

Declaration of consent

During the event, video and audio recordings as well as photography of the participants and the event in general will be conducted.

To familiarise for which purposes the collected from this registration data will be used and the purpose and usage of recordings/filming and photographing is done, please read the Declaration of Consent before registering for the event.

I hereby agree to the Declaration of Consent for Data Processing.
By completing the registration process for the event, I hereby consent to my data from this form being collected, stored and used for organisation, implementation, and subsequent processing as well as for reporting to the third-party funder (like DAAD, Erasmus); to prepare the necessary documents for travel like visa invitations such information as passport details, date and place of birth is required. If the participant wants the EuroPIM Project Office to book the (flight)tickets and accommodation (provided that this is offered by EuroPIM Project Office and provided that this is possible and planned in one or several funding projects) additional information such as passport details, visa if applicable, date of birth, place of birth, date of arrival and departure will be collected. For security reason the EuroPIM Project office collects the information related to COVID-19.
I can revoke this consent at any time without stating any reasons; furthermore, I can request information on the stored data and demand correction, deletion and restriction of my personal data. To do so please contact europim@fh-dortmund.de

I hereby agree to the Declaration of Consent for the Recording, Processing and Use of Photographs, Audio, and Video.
The declaration of consent is provided electronically by checking the relevant box on the webpage. Submission of the checked box is equivalent to the signing of this declaration. The signee declares their consent to the use of the photographic, audiographic, and videographic material of their person for the purposes of building up an image archive to document the history and activities of the EuroPIM Consortium events; public relations; publication in the EuroPIM project’s activity reports and newsletter, publication on the internet on EuroPIM website; publication on social media platforms; disclosure to third parties (press) for press releases. Any use of the videographic and photographic material for purposes other than those described is not permissible. I do not derive any rights (e.g. royalty) from my consent to publication. This consent can be withdrawn at any time with effect for the future. In the event of withdrawal, the photographs will be removed from the platform concerned. If the visual material was available on the internet, it will be removed by the EuroPIM Project Office to the extent possible. In case of objection/revocation please contact europim@fh-dortmund.de

Please note that by not agreeing to the Declaration of Consents, you will not be able to be registered for event you are registering for and thus will not be able to participate.

The information requested here is essential for all academic and administrative matters related to this event.

In case you do NOT agree to have your personal data processed, please leave the registration page or select the following button “cancel registration process”. The data you entered will not be saved.

Registration form for Events

Personal Data

Your Background

Information about seminar/workshop

Additional Information

Final Remarks

Declaration of consent

Address

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