Personal details
Surname: *
Name: *
Title: *
Payment
Invoice To: * Institution
Private
Conference Registration Type: *
Membership number: *
Paper ID:
Additional Payments: *
- Additional Guest Get Together (40€): No Yes
- Additional Guest Social Dinner (80€): No Yes
- Tour - Piazza dei Miracoli (20€): No Yes
- Visit - Leaning Tower of Pisa (20€): No Yes
- Visit - VIRGO (20€): No Yes
Institution
Institution: *
Department:
Institution Address: *
Institution City: *
Institution State or Province: *
Institution Postal/Zip Code: *
Institution Country: *
Institution VAT Number: *
Institution Office Code: *
Split Payment: * No Yes
Private
Home Address: *
Home City: *
Home Postal/Zip Code: *
Home Country: *
Fiscal Code: *
Contacts
Email: *
Phone:
Other information
 
Do you agree to the processing of your identification and/or sensitive personal data by CNIT, according to the ways and for the purposes specified in the privacy statement? * I agree
Do you agree to the communication of your contact data (name, surname, email) to the event partners for direct marketing purposes, according to the ways and for the purposes specified in the privacy statement? The processing of the data will be subject to the partner's internal policy regarding personal data. I agree

* Mandatory Field
 

** Student registration requires a valid student ID-card. Please send your student ID-card to the mail address simona.loffredo@cnit.it.
Please use the following subject for the email:
[MWP2024 student] your_surname, your_name