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	* Required fields   Title * Prof.     Dr.     Mr.     Ms. First Name *     Family Name *       Address * zip code *     City * Country *   Telephone * (incl. country and area code) Fax (incl. country and area code) Mobile phone (incl. country and area code) E-mail *       Institution *     Department *       Profession * Specialty *             INFORMATION NOTE, ART. 13, LAW 196/2003 Personal data provided upon registration shall be processed electronically and manually to document attendance and for purpose of data processing pursuant to legal obligations. Data may be disclosed to organizations providing services relevant to the event, for purpose of its organization, and to the competent authorities in compliance with the law. Providing personal data is mandatory and essential for participation to the conference. Data controller: ISMETT s.r.l., Piazza Sett’Angeli, 10, Palermo (through its legal representative). You are entitled to all rights as per art. 7, under the restrictions referred to in art. 8, of the Law n. 196/2003. I agree and consent for my personal data to be used and disclosed for the above-mentioned purposes. For any eventual problem or request of information, please contact MedTASS2009@ismett.edu