Registration Form
I hereby give consent to having my personal data processed by the organizers of the event for the purpose of registration and performance of all administrative activities connected with my participation. My personal data shall be administered by the Polish Pharmacological Society, 02-097 Warszawa, Banacha 1b str. Personal data processing for all Event participants are entrusted to its organizers. I understand I may choose not to give my personal data, but this is required in order for Event participation. I have been also informed about the right to access, correct and change my personal data and that I can object to any future processing of the data at any time (http://ptflublin.pl/polityka-prywatnosci/).
Email address *
Type of registrant *
Gender *
Title *
First name *
Your answer
Last name *
Your answer
Institiution *
Your answer
Department *
Your answer
Address (City) *
Your answer
Address (Street and No) *
Your answer
Address (Postal code) *
Your answer
Address (City of Post) *
Your answer
Address (Country) *
Your answer
Phone with the country code *
ie.: +48814488587
Your answer
I want to declare the accompanying person *
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