CIVIL SOCIETY MEDIA SEMINAR
24-25 November 2016
Vienna

Return by 10 November 2016to:European Economic and Social Committee
Communication Department
E-mail:
Fax: + 32-(0)2-546.99 26

SURNAME : / ……………………………………………………………………………………
FIRST NAME : / ……………………………………………………………………………………
ID/PASSPORT N° / …………………………………………………………………………………....
ORGANISATION : / …………………………………………………………………………………....
ADDRESS/COUNTRY: / ……………………………………………………………………………………
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TELEPHONE : / .………………………………………FAX :………………………………......
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If you need hotel reservation, please contact us as we have some rooms available close to the venue.

YES / NO
I will attend the NETWORKING DINNER on 24 November
YES / NO
I authorize the European Economic and Social Committee to take photographs of me during the civil society media seminar on 24-25 November and grant permission to the EESC to use and publish these photographs.

DATE :…………………..………..SIGNATURE : ……………………

Your personal data are processed in accordance with Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data.

These data are processed for the purposes of your registration for a conference/other event. Your data will be sent only to the departments involved (sections, pre-press, security). The information will not be communicated to third parties, except where necessary for the purposes outlined above.

You have the right to access your personal data and the right to correct any inaccurate or incomplete personal data. If you have any queries concerning the processing of your personal data, you may address them to the head of the EESC Conferences and Interpreting Unit, 99 rue Belliard, B1040 Brussels (). You may also send an e-mail to the Data Protection Officer of the European Economic and Social Committee: . The persons involved shall also have right of recourse at any time to the European Data Protection Supervisor (