Registration form | CTMI 2019

DELEGATE INFORMATION

First name: *

Last name: *

Organization: *

Position: *

Address:

Zip code:

City:

Country: *

E-mail: *

Confirm e-mail: *

Phone: *

(including country and area codes)

REGISTRATION FEES

Fees cover (for all participants): Conference attendance, information material, lunches, coffee breaks and social events. If you wish to bring additional accompanying guests to the excursions (Social Program), please fill in the appropriate box below.

Those participants whose Communications and Success Stories Posters have been accepted (oral or poster) must pay the registration fees before 30th June 2019.

Participants fees:

General audience: 275.00 €

Math-in or ITMATI members: 150.00 €

Student: 75.00 €

Student fee will apply only for PhD and MSc students.

ADDITIONAL INFORMATION

Excursion to the coast on 21st July 2019 (Sunday PM)

I plan to attend the excursion to the coast (the cost is 35€ per person)

I will not attend this activity

Indicate here the number of acompanying guests for the excursion to the coast:

(the cost is 35 € per person)

Visit to the Historical Heritage of the USC (Tuesday 18:30 PM)

I plan to attend to the visit (no additional fees will be charged)

Indicate here the number of acompanying guests for the visit to the Historical Heritage of the USC:

Lunches

Please mark below the days you plan to attend the lunch:

22nd Monday

23rd Tuesday

24th Wednesday

Dietary restriction:

(Vegetarian, allergies, etc.)

STUDENT PROOF

Signed and stamped letter from your PhD or MSc advisor or a certificate of enrolment from your Institution confirming your status.

Upload document:

A student proof in PDF is compulsory in order to apply for a student fee.

CAMPUS HOUSING

Fill in only in the case you want to book accommodation at the University Halls. Prices are per room per night. Rooms are available from 20th to 24th, July (both included).

Select accommodation:

You can see the distance between the residences and the faculty of Mathematics in the link below: Maps

ID / Passport number:

Arrival day (dd):

Please introduce only two digits for the day. Do not include the month or the year.

Departure day (dd):

Please introduce only two digits for the day. Do not include the month or the year.

PAYMENT

Shortly after the registration, you will receive an e-mail with detailed payment instructions from ITMATI.

From math-in will contact you to manage the payment of Campus Housing if it is the case.

I agree to store my personal data *

I give permission to publish the first 3 fields on the list of attendees and on the website

I would like to receive information from ITMATI´s activities

I wish to receive math-in monthly newsletter

In accordance with the provisions of the European Parliament and of the Council of 27 April 2016 (GDPR), and the Organic Law on Data Protection and Digital Rights Guarantee (LOPDGDD, Law 3/2018 of December 5), the interested party is informed that these data are incorporated into the automated files owned by the Spanish Network for Mathematics & Industry , denominated MATHEMATICAL TECHNOLOGY TRANSFER file, with address at Calle Lope Gómez de Marzoa, s / n, 15782, Campus Vida SANTIAGO DE COMPOSTELA. You may exercise, at any time, the rights of access, rectification, cancellation and opposition, provided by law. By making this request this document authorizes the use of your personal data exclusively for the purpose requested (assistance or collaboration in activities of the Spanish Network Mathematics-Industry). The interested party consents that their data may be transferred to any other entity whose intervention is necessary or convenient in carrying out the requested purpose. This consent is granted without prejudice to all rights that assist the interested party under Organic Law 15/1999 on the Protection of Personal Data.

In accordance with the provisions of the European Parliament and of the Council of 27 April 2016 (GDPR), and the Organic Law on Data Protection and Digital Rights Guarantee (LOPDGDD, Law 3/2018 of December 5), the interested party is informed that these data will be incorporated into the ITMATI automated file "Activities Management", which will maintain the file of its ownership, and will register it in the General Registry of Data Protection. ITMATI will apply with respect to the file, the security measures that are necessary in order to comply with the provisions of Royal Decree 1720/2007, of December 21, which approves the Regulations for the development of the Organic Law 15/1999 of December 13 protection of personal data. You may exercise, at any time, the rights of access, rectification, cancellation and opposition, provided by law by sending an email to: itmati@itmati.com. By completing this document you authorize the use of your personal data exclusively for the purpose requested.