ARISTEA - ESB

FACULTY FORM

PERSONAL DATA

Name **

Surname **

Affiliation **

Title *

Specialty *

Address *

Zip code *

City **

State / province *

Country **

Telephone *

E-mail *

UPLOADING AREA

Image to be published in the speakers section in the app *

CV attachment

Short BIO *

Short abstract (for speakers only. Moderators please enter the word "moderator")

PRIVACY

With reference to the information and images above, and in accordance with European Regulation No. 2016/679, known as the General Data Protection Regulation (GDPR), I hereby issue release forms, free of charge and without time limits. This is to permit the publication of the aforementioned information and images on the website https://esb2025.org/ and the app, associated with ESB. The fields marked with ** will also be available on the congress app. This event is owned by ESB and may also be disseminated through any other means. I also authorize the storage of the images in the computer archives of ESB and Aristea International S.r.l. I acknowledge that the purpose of such publications is purely informational. Personal data of the subjects photographed, including their images and the common information required for the release, will be processed in compliance with and pursuant to Article 13 of EU Regulation 2016/679, solely for the aforementioned activities. Personal data of the subjects photographed, including their images and the common information required for the release, will be processed in compliance with and pursuant to Article 13 of EU Regulation 2016/679, solely for the aforementioned activities.

I give my consent

YES NO

I also authorize the video-recording of my lecture (if in live streaming) and the publication of the slides used on the ESB congress website https://esb2025.org/

YES NO