Author 1 - Full Name*

Author 2 - Full Name

Supervisor - Full Name*

University*

E-mail*

Title of article*

Participation in the conference:

Submission of paper, presenting a poster at a conferenceSubmission of paper (only)Presenting a poster at a conference (only)

Category*
---Automation and mechatronicsDesigning, researches and exploitationTechnologies, processes and systems of manufacturingInformaticsTransport

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* University of Bielsko-Biala in Bielsko-Biała (Poland) /called underneath as: the University/ will be the administrator of personal data. The data sent in the contact form will be processed for the purpose of registration and confirmation of eagerness to participate in the International Scientific Conference „Engineer of Century” organized by the Faculty of Mechanical Engineering and Computer Science of the University (Information Clause).

* I hereby confirm that I became acquainted with the attached Information Clause.

* I agree for processing of personal data in accordance with the Law on Protection of Personal Data which are related to the sent registration form and thus expressed eagerness to participate in the International Scientific Conference „Engineer of XXI Century” organized by the Faculty of Mechanical Engineering and Computer Science of the University in Bielsko-Biała.

* I agree for receiving of business information related to participation in the International Scientific Conference „Engineer of XXI Century” organized by the Faculty of Mechanical Engineering and Computer Science of the University in Bielsko-Biała, by means of electronic post on the above given email address, according to the Law of the 18th July, 2002 about the providing of services via electronic media (Register of Polish Law: Dz.U.2017.1219).

* I declare, that I agree for publication of photos and clips (movies) enclosing my picture registered during the X-th International Conference of Students, PhD-Students and Young Researchers/Scientists “Engineer XXI Century” held on 10 December 2021 at the Faculty of Mechanical Engineering and Computer Science of the University in Bielsko-Biała, 2 Willowa Street, on the webpages as well as fanpages of the University and in media aiming for information and promotion of the University.

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