PIIOS Registration: Employer funded

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Your details

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Email Address:

Your employer's details

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Name of contact at funding organisation

Contact email address

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Declaration

The University of Warwick will process your personal data being that contained within this form: name, address, email address and date of birth for the purpose of enrolling you onto the PIIOS course.

The legal basis for processing this personal data is performance of a contract.

Your personal data will not be shared or disclosed to any third parties external to the University of Warwick except the Association for Infant Mental Health (AIMH UK) who will process your personal data for the purpose of issuing Continuing Professional Development credits on completion of the course.

Your personal data will not be transferred outside of the EEA, will be kept securely by the University of Warwick and will be retained for [insert how long it will be kept and used for: xxxxxx].

The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University’s Data Protection webpages for further information in relation to your rights and how the University processes your personal data. The University’s Data Protection Officer, A Bajaj, can be contacted through infocompliance@warwick.ac.uk and any requests or complaints should be made in writing to the University’s Data Protection Officer.

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By ticking the above box you are entering into a legal agreement with the University.

Privacy notice

This form will be used to manage attendance at a course. Your attendance on the course will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the course.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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Warwick Medical School

PIIOS Registration: Employer funded

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