Personal data

Academic title

Salutation

First name *

Last name *

Institution / Company *

Department

Address *

Address continued

Post code *

City *

Country *

E-mail address *

I agree that the pictures and videos taken by the e-conversion staff during the event will be used for e-conversion’s reports and the public outreach. *

Yes

Comments (nutritional needs, other special requests, ...)

e-conversion will use your personal information to process your registration, facilitate your attendance at the event and provide you with information concerning the conference and possible follow-up events. *

I agree

You have successfully registered to the e-conversion Conference 2023. You will get an e-mail message with the details of your registration. Please check also your spam folder.

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Fields marked with an asterisk (*) have to be filled. Upon successful submission you will receive an e-mail message containing the data you submitted.

E-CONNECT – Registration

Personal data