Tackling tobacco chronic diseases in Europe: towards healthy populations protected from tobacco and second-hand smoke

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

TackSHS Project Final Conference - Brussels - 8 October 2019 (10:30 - 15:30)
European Parliament (Room JAN 6Q1), hosted by MEP Cristian-Silviu Busoi and MEP Rosa Estaràs Ferragut

Registration form

Email *

Organisation *

Title *

First Name *

Last name *

Will you attend the lunch? *

Yes

In order to plan the catering, please let us know if you have any dietary requirements:

Privacy (please read and agree with the ENSP Privacy Policy Statement) *

I grant ENSP, its representatives and employees the right to photograph my attendance at the event, and agree that such images of me may be used to illustrate and promote the activities of the ENSP.

By registering to this event I agree that my data will be used for registration purposes and to create a participant list that will be circulated at the event. I also hereby give my consent to the processing of my personal data to the extent necessary for the achievement of the purposes mentioned above. ENSP guarantees that personal data relating to me are processed according to the rules set by the Regulation (EU) 2016/679.

Required

In order to enter the European Parliament in Brussels, we ask you to provide security information specified below.

Please remember to bring a valid form of identification (ID Card or passport) with you on the day of our event as proof of your identity.

ID card or passport number *

Nationality *

Place of residence *

Date of birth *

YYYY

If you have any question, please contact polina.starchenko@ensp.org or otigova@iconcologia.net

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 681040

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms