VISA form

This form should ONLY be filled in for meetings hosted by ETSI in the Nice/Sophia-Antipolis area. For other meetings please contact the organiser. Information provided on the meeting invitation

Title:*
 

First name: *
 

Surname: *
 

Company name: *
 

Full address:*
 

City: *
 

Zip code: *
 

Country: *
 

State:
 

Phone: *
 
Mobile: *
  		Email: *
 

Have your contact details changed recently (less than 6 months) * 

Technical Body/Plugtests/Workshop: *

  

From: *

 Day
 Month
 Year

 Location *

   To: * Day
 Month 
 Year

*   I agree and accept that my personal data contained in the present form are collected and stored for a maximum of 12 months in compliance with the ETSI Privacy policy allowing ETSI to send me any necessary document to help me with my VISA request. I understand that if I have any question about my personal data or should I want to exercise my rights of access, rectification and/or erasure, I shall send an e-mail to privacy@etsi.org.