Registration form: From tech to Rehabilitation- 23 september

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Registration form: From tech to Rehabilitation- 23 september

Last name

First name

Email address

Organisation

Job title/position

I want a certificate of attendance

Yes

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In case of accreditation for Pro-Q-kine. Please fill in your riziv number below

Do you want to submit a poster before 9 September? The print of the poster is provided by us

Yes

Clear selection

Will you be attending the reception in the evening (from approximately 18h10)?

Yes

Clear selection

I give my permission for:

UHasselt SEE, the faculty of Rehabilitation Sciences and Hasselt University can use my contactdata to inform me about suitable workshops, conferences, events,...

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PRIVACY

The organisation of the symposium wishes to draw your attention to the fact that photographs may be taken in the public areas of the university (the Agora, lecture halls, etc.). These photographs may be used for the media channels of UHasselt, for marketing purposes, for educational products or for publications.

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