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5th Inclusion Conference - Pre-registration
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NAME *
SURNAMES *
IDENTITY CARD *
E-MAIL *
Confirm email *
MOBILE NUMBER *
ORGANIZATION-COMPANY *
JOB TITLE-POSITION *
PROVINCE *
GENDER
Please select an option
Male
Female
Non-binary
LUNCH *
Please select an option
Yes
No
Will you attend the lunch of the Conference?
IF YOU HAVE ANY FOOD ALLERGIES, PLEASE INDICATE THEM:
IF YOU HAVE ANY ACCESSIBILITY NEEDS, PLEASE INDICATE THEM:
CERTIFICATE OF ATTENDANCE REQUIRED: *
Please select an option
Yes
No
I consent to the inclusion of my data in the database " Directorate for Employment and Inclusion's Contact Directory". *
Please select an option
Yes
No
I authorise the use of the images taken during the 4th Inclusion Conference. *
Please select an option
Yes
No
I give my consent for my data on food allergies to be processed by the organisation of the 5th Inclusion Day in the Basque Country.
Please select an option
Yes
No
I accept the
terms and conditions
and the
privacy policy
. *
Register
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