MONITORING COMMITTEE Interreg CBC Italy-Croatia

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MONITORING COMMITTEE Interreg CBC Italy-Croatia

This form has the only purpose to register personal data of interested observers in the Monitoring Committee of the Interreg CBC Italy-Croatia

All registrations made through this form need to be confirmed with the declaration of impartiality and confidentiality to be signed by the interested observer and submitted via email by Puglia Region. Without the signature of the declaration, the observers may not be admitted to the meetings of the Monitoring Committee.

In case of evident conflict of interest, of abuse by the interested observer or or if interested observers do not comply with art. 2 of the Commission Delegated Regulation (EU) No 240/2014, the Managing Authority upon consultation and in agreement with the respective heads of the national delegation may exclude the interested observer from participation.

For any questions or to delete own personal data please contact us at

politiche.internazionali@regione.puglia.it

NOTICE:

In compliance with the EU Data Protection Regulation GDPR (EU) 2016/679 and its supporting legislation, we ensure that the data collected is processed fairly and not used in ways that are beyond the scope of the MC participation, for which the data was collected. By entering this data, you give your consent that the data provided may be published on the website in the related MC section.

Email *

Email
*

Interreg CBC Italy-Croatia

Name & Surname of the person interested to be observer at the MC

Please enter name, surname

Contact email (official - institutional)

Please enter valid email of the organisation. THIS IS GOING TO BE PUBLISHED IN THE WEBSITE

Contact email (personal)

Please enter valid personal email of the observer. It may be the same as the official emal. THIS IS NOT GOING TO BE PUBLISHED.

Contact phone (office or mobile) - optional

Please enter valid phone no. of the observer. THIS IS NOT GOING TO BE PUBLISHED, and only to be used exceptionally for logistic purposes.

Name of the organisation of the observer

Please enter name in ENGLISH (e.g. Union of Municipalities) and original language. THIS IS GOING TO BE PUBLISHED

Office and function of the observer

Please enter name in ENGLISH (e.g. Head of the Department for EU projects) and original language. THIS IS NOT GOING TO BE PUBLISHED.

Country

Please select only one. THIS IS GOING TO BE PUBLISHED

Italy

Croatia

I declare that

Please confirm all statements

I am aware that to be admitted I must sign the impartiality and confidentiality declaration

I acknowledge and accept I may be excluded, in case of evident conflict of interest, abuse or if I do not comply with art. 2 of the Commission Delegated Regulation (EU) No 240/2014

Required

Consent

I give the consent to the Managing Authority of the Interreg Italy-Croatia to use and publish this data in the programme website for the purpose of transparency of the MC composition, in compliance with EU General Data Protection Regulation (EU) 2016/679.

I give my explicit consent to the use and publication of this data in the programme website

A copy of your responses will be emailed to the address you provided.

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