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Warwick Innovations

NHS Registration Form

If you are a NHS Organisation wishing to use WEMWBS you can purchase an annual licence online (for up to 30,000 Participants).

Please note that this form is for NHS organisations only, if your email address does not contain NHS in the suffix you need to apply using the main commercial licence application form.

Please complete the form below to register and pay for your licence, ensuring that you read and accept the terms and conditions.

If you wish to offer WEMWBS to a greater number of Participants we would be happy to discuss your requirements. Please contact us at wemwbslicence@warwick.ac.uk to discuss your requirements.

We are not currently able to offer the option of purchasing with a purchase order number, if you are not able to purchase a licence online using a debit or credit card, and are unable to find someone else in your organisation with the authority to purchase a licence on your behalf, please contact us at wemwbslicence@warwick.ac.uk to discuss your requirements further.

Organisation

Contact Details

How are you planning to use WEMWBS?

Type of Intervention (if applicable) Tick all that apply (required)
Field of Use
(Tick all that apply) (required)
Age of Participants (Tick all that apply) (required)
I have read and agreed to the terms of the Commercial Licence
Please print and retain a copy for your reference (required)

Commercial Terms & Conditions

I agree to my contact details being shared with third parties for the purposes of product development of WEMWBS (required)

Privacy notice

The University of Warwick will process your personal data, being your contact details for the purpose(s) of licence registration, management and academic research

The legal basis for processing this personal data is that it is necessary for the performance of a contract and a public task

Your personal data will not be shared or disclosed to any third parties external to the University of Warwick, unless you have ticked yes to the box above, at which point we will share your personal data with third parties for the purposes of product development of WEMWBS.

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 up to 5 years and used for licence management and academic research.

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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