CONTACT ICT-BIOCHAIN Regional Ministry of Agriculture, Livestock, Fisheries and Sustainable Development of Andalusia (Spain). Tabladilla s/n, 41013 Sevilla Phone : +34 955 03 25 15 Email : firstname.lastname@example.org CONTACT Name Email Adress Message Send ICT-BIOCHAIN PLATFORM User Registration Form Please, fill out the following information below in order to have access to the Platform Prototype. NAME * ENTITY EMAIL* I agree with the terms of conditions of this form. The data collected from this form (identity, email address and name of your entity) are subject to a process implemented by ICT-BIOCHAIN project consortium to grant the users who require personal access to the ICT-BIOCHAIN platform prototype. Required fields are marked with a red asterisk `*´. If there is no response to fields marked with a red asterisk `*´, your request cannot be processed. Your contact details and those related to your application will be deleted two years after your subscription date. In accordance with the regulations applicable to the protection of personal data, you have the following rights: right of access, right of rectification, right of opposition, right to cancellation, right to limitation of treatment, right to define instructions on the fate of your data upon your death. By justifying your identity, you can exercise your rights by sending a request by email to email@example.com or to “ICT-BIOCHAIN Coordination Team” under the following postal address: Regional Ministry of Agriculture, Livestock, Fisheries and Sustainable Development of Andalusia (Spain). Tabladilla s/n, 41013 Sevilla. If you consider that, after contacting us, your rights are not respected, you can submit a complaint to the Commission Nationale de l'Informatique et des Libertés (CNIL) in France or the equivalent governmental body in your country if it is part of European Union.