International Week 2024

Critical Thinking in the Digital Age

20 a 24 de Maio de 2024

Registrations are closed.

In case you have difficulties in completing the application form please contact us via email: ana.boaventura@ipleiria.pt

Fields marked with * are mandatory

1. Personal Information

Name of Applicant *

(Please insert your full name according to your identification card.)

Address *

Postal/Zip Code *

City *

Phone Number *

TAX Number *

Country *

E-mail address *

(Please insert your email address. The address introduced will be used for future communications)

Expectations you have on the Workshops and what you would like to see addressed *

Institution/ Organization

Name of Institution/ Organization *

(Please enter the designation of the organization or institution where you develop your professional activity.)

Address of the Institution *

Institution Country *

Applicant’s Department at the home Institution *

2. Invoice Information

Please fill in the fields below if you require the invoice in a different name from above-mentioned.

Receipt in

Name

Address

Postal/Zip Code

City

Country

TAX Number

Phone Number

Fax

3. Registration Fee

Early Bird - €50 (until April 1st 2024)

Deadline - €80 (from April 2nd 2024 until May 6th 2024)

Price

TOTAL: 0.00 €

4. Payment Method

Credit Card

Note: After you select the credit card payment method and submit the application form, you will receive an email for credit card payment instructions.

Address IPLeiria:

Instituto Politécnico de Leiria

Rua General Norton de Matos

Apartado 4133

2411-901 Leiria

Portugal

Bank Transfer

Payment by Bank Transfer to:
Instituto Politécnico de Leiria
R. General Norton de Matos
Apartado 4133
2411-901 Leiria

Bank Name:
Instituto de Gestão da tesouraria e do Crédito Publico, IP
Avenida da República, N.º 57, 6º
Place: Lisboa
Postal/Zip Code: 1050-189
Country: Portugal
NIF: 503 756 237
Phone: +351 217 923 300
FAX: +351 217 993 795

NIB: 078101120000000133640
IBAN: PT50078101120000000133640
SWIFT BIC CODE: IGCPPTPL

For bank transfers, the description of the transfer must comply with the following format: "IW2024+Registration Number".

A copy of the payment/transfer should be sent by e‐mail to the Organizing Committee (ana.boaventura@ipleiria.pt).

5. Data Protection Guarantee

Information

1. The Polytechnic Institute of Leiria, as an Institution of Public Higher Education, needs to collect and process personal data within the scope of its mission and attributions, being responsible for the treatment of such data under the current legislation.

2. Personal data provided through this form is intended exclusively to be processed by the educational institution, within the scope of its attributions, for establishing the enrollment process on the Open Staff Week, as well as the establishment of contacts with the data subject and their availability to the services of the Polytechnic for the above purposes.

3. The data subject has the right to access his or her personal data, as well as, within the limits of the legislation, to change them, to oppose their treatment, to decide on the automatic processing of the data, to withdraw consent and to exercise the other rights. If you withdraw your consent, this does not compromise the lawfulness of the treatment made up to that date. You also have the right to be notified, under the terms of the Law, if a violation of your personal data occurs and you can complain to the authority(s).

4. For more information about the rights that you have as data holder, you can consult the Privacy and Personal Data Policy of the Polytechnic of Leiria at https://www.ipleiria.pt.

In this context, I declare that:

I have been aware of points 1 to 4 of the data protection guarantee. I understand that whenever my personal data is processed for another purpose, my explicit consent will be sought for this treatment and I will receive information on specific, explicit and legitimate purposes. I give my consent so that my personal data can be transmitted to other public or private entities, legitimately, exclusively for legal purposes, in the exercise of the attributions and competences of the Polytechnic Institute of Leiria. I give my consent so that my personal data can be transmitted to other public or private entities, legitimately, exclusively for legal purposes, in the exercise of the attributions and competences of the Polytechnic Institute of Leiria. *

6. Submit Registration

I declare that all informations provided on this Application Form are true without any omission to the same. *