Internal Registration: RegMed Forum 2027

Title

First Name *

Last Name *

E-mail address *

Institute Address

Institute *

Department *

Street (Institute) *

House number (Institute) *

City (Institute) *

Post Code (Institute) *

Cost Center (Innenauftrag/Kostenstelle) *

If you are a Charité staff member or student and your supervisor has agreed to cover the participation fee, please provide the cost center (Innenauftrag or Kostenstelle) for internal billing.

If not, please follow the external link: External Registration

Please note when specifying the cost center that the account must also be covered in 2027, since the invoice will not be issued until 2027.

Further information

Dietary preferences

Food intolerance(s)

I will attend the evening get-together *

Yes

On-site childcare required?

Yes, on 11.02.2027

Yes, on 12.02.2027

Yes, both days

Consent

I declare that I would like to participate in the RegMed Forum and give my consent for my data to be collected and stored for the purpose of organising this event. The BIH may use my email address to send me announcements about future BIH events. *

I acknowledge that, by registering to this event, BIH and its representatives have permission to photograph, video, or otherwise capture the images of me, and to make recordings of my voice. I further understand that BIH and its representatives have the right to reproduce, use, exhibit, display, broadcast and distribute, and create derivative works of these images and recordings in any media now known or later developed as well as for promoting, publicizing or explaining BIH and its activities and for administrative, educational or research purposes. I acknowledge that BIH owns all rights to the images and recordings. According to the GDPR, I can revoke my consent at any time without giving reasons. *

I do not wish for my email address to be shared with the sponsors of this event. A possibility to unsubscribe from communications will be available at any time.

I have any particular needs the organisation team should be aware of, any type of disability or restrictions. Please inform us prior to the event to organise your barrier-free access and make your experience the best possible.

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