If you are human, leave this field blank.Personal DataLast name *First name * Place of Birth * Date of Birth *Sex *FM Place of Residence *State / Province *Paese *ItaliaSan MarinoUnited States (US)United Kingdom (UK)CanadaAustraliaAfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabwe Street *n° *Zipcode *TelephoneMobile Phone *Email * Study / Qualification *Education and CoursesItalian Fiscal Code (if possessed)Size for white coat for lab work *SMLXLCar owner *YN Company Do you attend the course as employee of a company?YN Company Data Business name *VAT number *Street *Zipcode *Città *State / Province *Telephone *Fax *Email * Business sector *Task * COURSE ENROLLMENTTake note of the course content and schedule on the web site enrollment for the course *Undertake to accept the rules and regulations of the Cercal and the training agreement (named “Patto formativo”), which will be signed by the partecipant at the beginning of the course. Attachments (PDF - DOC - DOCX - JPG - PNG format) Personal resume "with photos" * User registrationWith these credentials you can have access to your profile and request to delete your personal data according to the European Privacy Regulation (GDPR 679/2016) Utente *Password *Leggi l’informativa completa sul trattamento dei dati personali (PDF) Privacy (Reg.to 679/2016) *By using this form you accept the storage and management of your data from this website.Cercal as Data Controller of your personal data, pursuant to and for the effects of the EU Reg. 2016/679 hereafter referred to as 'GDPR', hereby informs you that the aforementioned law provides for the protection of data subjects regarding the treatment of personal data and that this treatment will be based on principles of correctness, lawfulness, transparency and protection of your privacy and your rights. Your personal data will be processed in order to manage the registration and subsequent delivery of the course. With your consent, your data may be processed for the purpose of promoting Cercal's activities. Complete information is available on the Cercal website in the Privacy section.Check *reCAPTCHA is required.Submit your request
Take note of the course content and schedule on the web site
Undertake to accept the rules and regulations of the Cercal and the training agreement (named “Patto formativo”), which will be signed by the partecipant at the beginning of the course.
With these credentials you can have access to your profile and request to delete your personal data according to the European Privacy Regulation (GDPR 679/2016)
Leggi l’informativa completa sul trattamento dei dati personali (PDF)