Transcatheter Heart Team Conference

We kindly ask you to complete the following information about your specialization and affiliation in order to publish it on the website www.thtconference.com in the section dedicated to the Faculty.

Degree*
Personal data*
Prefix First name Middle Last name
Afiliation*
Email*
Personal and professional biosketch*
The note will be published on www.thtconference.com
Profile photo*
Please upload FullHD vertical photo in 16:9 scale The photo will be published on www.thtconference.com
Accepted file types: png, jpg, gif, jpeg, tiff.
Additional notes for Organizer (THT Poland sp. z o.o.)
Consent to publish both profile photo and a biosketch at www.thtconference.com*
- I consent to the publication of the profile photo along with a biosketch at www.thtconference.com
Consent to process the above data*
- I consent to the processing of the above-mentioned data in order to improve the organization of the THT 2021 Conference in Katowice (including communication between the Faculty Member and the Organizer) by the Organizer (THT Poland sp.z o.o.) and the technical contractor of the Conference.
Privacy policy and information clause*
- I declare that I have read the Privacy policy and Information clause
Phone
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