SCIENTIFIC ADVISORY BOARD May 29, 2022 APPLICATION Name(Required) Surname(Required) Title(Required) MD PhD PT Other (please specify on the right) Title specification Institution(Required) PhotoMax. file size: 20 MB.Curriculum VitaeMax. file size: 20 MB.Consent(Required) I agree to my data treatment, according to the "REQUEST FOR MEMBERSHIP AND INFORMATION ON THE PROCESSING OF PERSONAL DATA".SPECIFICALLY, I DECLARE I have read and clearly understood the information relative to the processing of personal data under Articles 13 and 14 of the GDPR and the Privacy Code. I have been informed about Articles 15-22 of the GDPR. Therefore, I GIVE INFORMED CONSENT - To the processing of personal data for my participation at the Scientific Advisory Board of the association EXTREMESPORTMED. I consent to acquire, store, manage, transmit and process my data with the support of paper, computer, or telematic means. In any case, this must be done using tools to ensure their security and confidentiality under the rules established by the GDPR and the Privacy Code for the following purposes: a) administrative, financial, accounting, and fiscal management of the existing relationship; b) elaboration, liquidation, and payment of fees and refunds; c) fulfillment of obligations derived from the law or derivatives of Community rules on fiscal matters; d) management of events organized by the owner and sending of communications and newsletters; e) Educational, didactic and promotional purposes. I give consent free of charge (also according to Articles 10 and 320 of the Italian Civil Code and Articles 96 and 97 of Law 22.4.1941, no. 633 - Law on the right) for the data processing and dissemination in the manner indicated in this information notice, of my and photos and videos depicting my image. The complete information on the processing of personal data is permanently available at: https://extremesportmed.org/5506-2/.