YOU CAN ALSO APPLY USING THE ELECTRONIC APPLICATION FORM that is AVAILABLE ON THE cnb website

COURSE APPLICATION FORM

Fill in clearly in capital letters

Code / Seminar
PERSONAL INFORMATION
First name(s) /  Male
Surname /  Female
Date of birth (day/month/year) / Passport number / If you need an invitation letter to obtain a visa, state the embassy you will be applying to:
EMPLOYMENT INFORMATION
Bank:
Telephone number / Fax number
E-mail address
Current position/job title
Department
LANGUAGE SKILLS
Please circle the number that best corresponds to your English ability in each of the following categories (5 = native-speaker level)
Reading / Writing / Speaking / Oral comprehension
1 2 3 4 5 / 1 2 3 4 5 / 1 2 3 4 5 / 1 2 3 4 5
CONSENT TO PERSONAL DATA PROCESSING
By ticking the box “I CONSENT TO THE PROCESSING OF PERSONAL DATA”, I agree that the Czech National Bank, registered address Na Příkopě 28, 115 03 Prague 1, company ID 48136450, as a personal data controller (“controller”) pursuant to Articles 4(n), 5(4) and 11 of Act No. 101/2000 Coll., on Personal Data Protection and the Amendment of Other Acts, as amended, may process personal data for the purposes of the application to attend foreign technical assistance seminars.
The controller will process the following personal data: name, surname, gender, date of birth, passport number, work phone number, work fax number, work e-mail address, name of position, department, language skills. The personal data will be processed by the controller in an automated manner. The controller will store the personal data for a period of one year. The personal data will not be made available to third parties.
I am aware that I may revoke the consent to personal data processing at any time. Consent can be revoked by sending an e-mail to: .
If the consent to personal data processing is revoked, I am aware that it will then be impossible to process the application to attend foreign technical assistance seminars.
I hereby confirm that I have been advised of my rights arising from the processing of personal data, notably the right of access to personal data, the right to have personal data rectified, the right to withdraw consent to the processing of personal data, the right to request remedy of a situation which is contrary to the law, especially in the form of suspension of handling of personal data and the rectification, amendment or removal of personal data, and the right to file a complaint with the Office for Personal Data Protection. Pursuant to the General Data Protection Regulation – Regulation (EU) 2016/679 of the European Parliament and of the Council (“GDPR”) – a natural person also has the right of erasure of personal data and the right of limited processing of personal data under the conditions laid down in GDPR.
☐ I consent to the processing of the above-mentioned personal data.[1]
Name and surname......
Signature ......

Date:

Applicant’s signature:

Return to:

CNB, Administration Department, Na Prikope 28, Prague, Czech Republic

Contact person:

Mr Jan Malek (phone: +420 2 2441 4459)

e-mail:

[1] In order to express consent to the processing of personal data, please tick the box “I consent to the processing of the above-mentioned personal data” and fill out your name and surname and add your signature.