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Application On-line
* Required fields
 
Program: 18th Meeting of the Telecommunications and the IT Industry
 
Dates:
Closed
 
Fees:
General Fee:  1.300 Euros
:  1.170 Euros
IESE Members:  910 Euros
:  910 Euros
 
Personal Data:
  Mr. Mrs.
First Name *
Last Name *
2nd Last Name (if applicable)
 
Nationality *
Date of birth * (dd/mm/yyyy)
Have you previously attended an IESE program?* - No  Yes
 
Professional Data
Current Employer *
Address *
City *
Country *
Province
 
Postal Code *
No. of Employees *
E-mail *  (of Attendee)
Direct phone number * (of Attendee)
Fax   (of Attendee)
Position *
Title of present job position *
Hierarchy level *
Sector *
Product
 
Should someone else deal with this procedure? * - No  Yes
Name
Last Name
2nd Last Name (if applicable)
Department
Direct phone number
E-mail
 
 
Billing Data:
    Company Personal Other
Company
*
Address
*
City
*
Country
*
Province
 
Postal Code
*
CIF/NIF *
               
Name to appear on invoice *
 
Where the bill should be sent:
    Company Personal Other
Company
*
Address
*
City
*
Country
*
Province
 
Postal Code
*
 
Comments  
               
Where did you hear about this Program? *

               
Applications will be confirmed by e-mail or fax.
Places assigned on a first come, first served basis.
You must complete the payment before attending to the program.

Payment method: Personal check adressed to IESE or bank transfer:
BANKINTER (Rbla. Just Oliveras, 1 - 08901 Hospitalet de Llobregat)
IBAN: ES76 0128 6501 5301 0139 0462 / BIC: BKBKESMM
Please indicate the name of the participant and the title of the Industry Meeting in question.
               
               

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In accordance with Spanish Act 15/1999 on Personal Data Protection, you are hereby NOTIFIED and agree that any data with which you provide us will be used for the purposes of formalization, administrative management and the execution and development of activities carried out by IESE, University of Navarra (hereinafter "IESE"), as well as for profile preparation and segmentation, and image and/or audio recording in the classroom as part of its teaching program. All such data shall be stored in a file for which IESE shall be responsible. You are also hereby informed and agree that we may send you information prepared by IESE or any of the centers forming part of its teaching organization to inform you about its activities, news, courses and programs, and offer services and products relating to IESE activities. Said information may be sent by any means, including email or similar, even after conclusion of the course. If you have provided us with a third party's personal data, or if you do so in the future, said party should be notified and his/her consent to the above should be obtained before the data can be included. You may exercise your rights to access, modify, cancel and oppose the processing of your personal data by writing to: InfoDat, Av. Pearson 21, 08034 Barcelona (Spain) or InfoDat@iese.edu.
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