21st Century Medicine – International Medical Congress for Students and Young Doctors 2022

Passive participant

Application Form

Name and surname*

University / Worksite*

Academic degree

Field and year of study

E-mail address*

Phone number*

Authorisation to process personal data and acceptance of the regulations*

I provide the personal data contained in the application form, being aware that providing them is voluntary, but necessary to achieve the purpose of processing, i.e. recruitment and participation in the conference. I know that the Administrator of Personal Data collected in connection with applying for admission to the conference and participation in the conference is the Medical University of Lublin with its seat at Al. Racławickie 1, 20-059 Lublin. The Medical University of Lublin, as the administrator of personal data, informs that the collected personal data will be processed only for the purpose of conducting the recruitment and conference process in relation to persons qualified to participate in the conference, as well as for statistical and archival purposes, as well as establishing and pursuing possible claims, in connection with the implementation of the legitimate interest of the Data Administrator. The basis for data processing is Art. 6 sec. 1 point b of 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 movement of such data, and repealing Directive 95/46 / EC (so-called: General Data Protection Regulation / GDPR), i.e. the fact that it is necessary to perform the contract to which I am a party and to act on my request before its conclusion. The data will not be sold and made available to external entities, except for cases provided for by law, nor will it be transferred to third countries and international organizations. They will be processed during the conference, as well as the archiving of documentation after the end of the conference, in accordance with the law and procedures of the University, and in the event of possible claims within the periods resulting from the provisions of general law. The data subject has the right to access his data, rectify it, and - in the cases provided for by law - limitations of data processing, data transfer, also has the right to lodge a complaint to the supervisory body. The data will not be used for any other purpose, will not be based on any automated decisions, and will not be profiled. The personal data administrator has appointed a person supervising the correctness of personal data processing, who can be contacted at: iod@umlub.pl I have been informed about the planned form and scope of use of my data, as well as the grounds for data processing and my rights, and that submitting this form is voluntary, but necessary to achieve the purpose of processing.

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