REQUESTS: to be a member of the Fundació i Academia de Ciencies Mediques i de Salut de Catalunya i de Balears and the European Society for Swallowing Disorders.

EXPOSES:

1.- That having been expressly informed of the existence of a personal data file managed by the Fundació i Academia de Ciencies Mediques i de Salut de Catalunya i de Balears to provide periodic and timely information on the activities and the services that it organizes or promotes.

2.- That having been expressly informed of the voluntary nature of the provision of personal data, of the consequences of obtaining the data or the refusal to provide them, of the possibility of exercising Access rights, rectification, deletion, limitation of the processing, portability of the data and opposition, by the owner of the data that appears, by simple written communication addressed to the Fundació i Academia de Ciencies Mediques i de Salut de Catalunya i de Balears (Major de Can Caralleu 1-7, 08017 Barcelona) in accordance with what is established by the Regulation of the individuals data protection 2016/679 UE of April 27.

3.-That you are informed that in case you consider your rights violated, you can submit a claim to the State Agency of Data Protection.

4.- That you are informed that you can contact the Delegate for Data Protection through the e-mail protecciodedades@academia.cat.

5.- That you are informed that your personal data will be kept during the period in which you are a member of the entity, and once you quit, they will be kept for 5 years.

6.- That you are informed that in the event of communicating the data for more than one purpose, that is, because you are a member of the entity and for promotional purposes, you may withdraw your consent at any time, regarding your willingness to receive promotional information, without that affects the legality of your consent being a member of the entity.

7.- That the communication of data is necessary to be a member of the entity, therefore, in the case of not providing it you could not be a member of it.

8.- That with the information communicated automated decisions are not made, including the elaboration of profiles.

COMUNICATES:

The data contained in this application for entry, giving their express consent for these data to be integrated into the file managed by the Fundació i Academia de Ciencies Mediques i de la Salut de Catalunya i de Balears, for the purposes consigned to the exhibition 1 of this document, and authorizes that their data may be communicated and assigned to the companies to which it subscribes by virtue of being a member of the Academia, for the purpose of promoting the activities and services carried out by the Fundació Academia, which is inherent to the condition of partner of the Academia.

I authorize my data to be transferred to organizations / entities / companies for promoting the activities, products and services offered by these organizations / entities / companies, as well as the Foundation.

DECLARES:

Assign the personal data contained in this document, that you have read and understand the management exposure that implies and that you accept the conditions defined in the text, giving your consent.