Faculty Application Form

You will receive an automatic confirmation e-mail upon completion of this form.
More information about the Confederation can be found on the official website.

Data Protection:
A registration is not possible without collecting, saving and processing your personal data (required fields with *). This is done in accordance with the most recent legislation on data protection (EU-GDPR 2018) and solely for the purpose of organising and realising the event. Please use the following link to read the detailed data protection regulations and information obligation: CEORL-HNS data protection regulations.

Important note: According to the Confederation of European ORL-HNS guidelines, kindly note though that no expenses such as registration fees, accommodation and travel expenses will be covered.

Salutation

Title

First Name

Last Name

Academic Title (post-nominal)

Organization/Institute

Position

Country

Email address

Verify Email Address

Additional Emails

Processing of your data by the Confederation of European ORL-HNS
Your personal data (comprising name, contact data & address data), collected by Mondial Congress & Events, may be passed on to Confederation of European ORL-HNS. The named society has permission to process your personal data and to contact you directly for the promotion of future and topic-related events, for the promotion and to disseminate information about activities of the society (eg: competitions, travel grants, etc.) and for the evaluation and further development of the current congress, as well as its future editions.
This declaration of consent can be retracted at any time by sending a written message to Mondial Congress & Events, Operngasse 20B, 1040 Wien or to dataprotection@mondial-congress.com

I agree

I disagree

SUMMARY

In case your booking summary is correct, please click “next” to continue to the payment page.
Please click “Edit” to alter your data.

DATA PROTECTION REGULATIONS & CONDITIONS

You can find the data protection regulations here.

Application conditions:
You will be expected to cover all travel-related expenses and registration fees (if apply) on your own.

The Confederation reserves the right to propose you as a Faculty at its events on the basis of the information submitted.

I have read the data protection regulations & I have read and accept the application conditions.


Company Information		CEORL-HNS Executive Office c/o Mondial Congress & Events T +34.618 533 894 gloria.casanova@ceorl-hns.org Contact person: Gloria Casanova


Company Information		CEORL-HNS Executive Office c/o Mondial Congress & Events T +34.618 533 894 gloria.casanova@ceorl-hns.org Contact person: Gloria Casanova


Company Information		CEORL-HNS Executive Office c/o Mondial Congress & Events T +34.618 533 894 gloria.casanova@ceorl-hns.org Contact person: Gloria Casanova


Company Information		CEORL-HNS Executive Office c/o Mondial Congress & Events T +34.618 533 894 gloria.casanova@ceorl-hns.org Contact person: Gloria Casanova

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