Name*:

Email*:

Gender*
FemaleMale

Address*

Telephone*

Date and place of birth

Current employment (if you are student, please provide the name of your University and the faculty, as your specialisation)*

Studies and qualification*:

Experience in the field*:

In which workshop would you like to participate? (choose only 1)*
Structural interventions, mural decoration techniquesTraditional joinery and furniture restoration

Please list any illnesses (for which you need medication), phobias (e.g. fear of heights), or allergies you might have*:

Blood-group*:

Special diet or food allergies*:

References (please, name two persons of reference)*:

Emergency contact (name and telephone)*:

In accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation), the Provider has the obligation of administration in conditions of safety, transparency and only for the specified purposes, the personal data of the Beneficiary. For the purpose of your participation in the training course on built heritage conservation at Bánffy Castle, Bonțida, Romania, the Provider will collect the personal data and the information below from the Beneficiary. Data collected: only those required in this form.