Register Form CTTC
Personal Information
*Email Address:
*Registration Category:
Full Registration
Full Registration (SBMO/IEEE Member)
Student Registration
Student Registration (SBMO/IEEE Member)
One Day Attendance
*IEEE/SBMO registration number:
*Prefix:
Miss
Mr.
Mrs.
Ms.
Dr.
Prof.
*First Name:
*Last Name:
Job Title:
*Affiliation (Company/University):
*Address Line 1:
Address Line 2:
*City:
*Country:
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
*ZIP/Postal Code:
*Work Phone:
Mobile Phone:
*VAT Number/Identification number:
Full Registration Fields
PAPER ID #1:
PAPER ID #2:
Include Extra Paper:
Yes
No
PAPER ID #3:
Include Extra Paper:
Yes
No
PAPER ID #4 (Extra paper):
I declare that I am a graduate/undergraduate student, and am going to be the presenter of previously mentioned articles and am eligible for the “Best Student Paper Award”
Yes, I am eligible for the “Best Student Paper Award”
No, I am NOT eligible for the “Best Student Paper Award”
*Are you planning to attend the Gala Dinner? 01 (one) Ticket included in the Full Registration:
Yes
No
*Do you wish to purchase an extra ticket for the Gala Dinner? (Extra tickets for € 80)
Yes
No
Student Registration Fields
I declare that I am a graduate/undergraduate student, and am going to be the presenter of articles mentioned below and am eligible for the “Best Student Paper Award”*
Yes, I am eligible for the “Best Student Paper Award”
No, I am NOT eligible for the “Best Student Paper Award”
PAPER ID #1:
PAPER ID #2:
*Do you wish to purchase a ticket for the Gala Dinner? Ticket not included in the Student Registration. (Extra tickets for € 80 / R$450)
Yes
No
One Day Registration Fields
*Do you wish to purchase a ticket for the Gala Dinner? Ticket not included in the One Day Attendance. (Extra tickets for € 80 / R$450)
Yes
No
*Do you wish to attend the Welcome Reception? 01 (one) Ticket included
Yes
No
General Data Protection Regulation (GDPR)
Data controller:
CENTRE TECNOLOGIC DE TELECOMUNICACIONS DE CATALUNYA (G62616586), Av. Carl Friedrich Gauss, 11 08860 Castelldefels (Barcelona) Contact: CTTC’S Data Protection Officer dpo@cttc.cat
Purpose:
Manage the participation and assistance to the organized events, recording of your image to disseminate information about the event on our own and third related parties’ website, social media and other digital and physical media, as well as invite you to other related events. *
Legal basis:
Registration to the event, consent for use of images and legitimate interest to invite you to similar activities organized by CTTC.
Transfers:
when legally established.
Storage limitation: your data will be stored during the event and the period of time required by law to attend possible responsibilities that may occur.
Rights:
you can withdraw your consent at any time, oppose to unwanted advertising and exercise the rights of access, rectification, erasure, restriction of processing, to portability and to object, by contacting CTTC’s Data Protection Officer.
If you want to know how your personal data is used, or you feel that we have used your personal data in a way that violates the agreement or current legislation, please contact CTTC’s Data Protection Officer.
If you have complaints regarding CTTC’s processing of your personal data, you are always entitled to contact the relevant inspection authority, the Agencia Catalana de Protecció de Dades (www.apdcat.gencat.cat).
* If you do not wish your image to be recorded please contact the organization of the event.
I have read and accept the
terms and conditions of CTTC's Privacy Policy
(mandatory check)
Submit