INSTrUCT: Registration form Training session online

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Please, fill in this registration form to obtain an accredited certificate of attendance to the Training session online: Brief Intervention Course on Tobacco Cessation. This training has been accredited by the Institut de Desenvolupament Professional (IDP-ICE) [Professional Development Institute] of the University of Barcelona.

Please, register for the training session either if you are going to follow it synchronically or a-synchronically.

Name *

Surname *

Sex *

Female

Male

E-mail *

Institution *

Please note that the following information must be filled in according to your institution or university.

Address *

City *

Postal Code *

Telephone *

Country *

Studies *

Would you like to receive an accredited Certificate of Attendance? *

Yes

If yes, please fill in the following information.

Passport Number

Birth date

YYYY

We are committed to high standards of information security, privacy, and transparency, making all the necessary efforts to ensure that this registration form complies with the GDPR.

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