EXTERNAL TICKETING

PERSONAL INFORMATION

Title

First name *

Last name *

Email address *

GENERAL INFORMATION

My organisation: *

You can categorize my organisation as: *

Business

Healthcare organisation

Educational / Research institution

Other

You have indicated that your organization falls under Business. Can you specify this by choosing one of the options below: *

Start-up / Spinoff

SME

Large company

You have indicated that your organization falls under Healthcare organisation. Can you specify this by choosing one of the options below: *

UMC

Other hospital or clinic

Other healtcare organisation

Other

You have entered Other. Can you specify your organization falls under? *

You have indicated that your organization falls under an Educational/Research institution. Can you specify this by choosing one of the options below: *

Educational institution

Research institution

Other

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You have indicated that your organization falls under Other. Can you specify this: *

My position: *

I'm a financier: *

Yes

EVENT INFORMATION

Dietary requirements/allergies:

I am interested/working in the field of (multiple options): *

Bioengineering technologies

Design of medical devices & robotics

Healthtech in society

Imaging & Diagnostics

Medical physiology & E-Health Technology

Planetary health

My ideas/actions to make healthcare more sustainable are:

Connecting frontrunners

Are you seeking particular knowledge or do you have a message you'd like to share with the community regarding sustainable healthcare through MedTech deployment? Please enter your information below. Your message will be shared at the event; attendees can respond to it while visiting the poster boards and Connecting frontrunners rooms.

I have open question to the community:

I can offer (knowledge/expertise/ideas/etc):

I'm looking for:

REGULATIONS DATA & IMAGES

As a participant in the event, you have to fill in personal data. With this data, we can inform you about the practical aspects of the event. We will handle your personal data with care and will not use your data to inform you about other activities unless you indicate that you agree to this. Keep in mind that all acquired visual material (photos/videos) during the event will be published by the organization as a report of the event (not for promotional purposes).

By signing up, I agree to University of Twente's privacy statement *

I agree that images (pictures/videos) of myself made during the event may be used by the organization for promotional purposes of future activities (with similar content). *

Yes

I agree that my contact details may be used by the TechMed Centre for mailings about future TechMed events and activities, as well as the TechMed Magazine. Read more. *

Yes

Final remarks:

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EXTERNAL TICKETING

PERSONAL INFORMATION

GENERAL INFORMATION

EVENT INFORMATION

Connecting frontrunners

REGULATIONS DATA & IMAGES

PAYMENT

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