ALUMNI CLUB

Alumni Club » Alumni Club Registration Form

REGISTRATION FORM

"I herein declare that I join the Alumni Club of Lazarski University."

obligatory data *
Personal data
First name *
Surname *
Maiden name
Place of birth *
Date of birth     (d m y) *
Number of register
(does not apply to the case of graduating only post-graduate studies, MBA or doctoral studies)
*

Contact data
Home telephone
Mobile phone *
E-mail *

Place of residence address
Town *
Zip code- *
Street *

Address for correspondence
The same as place of residence
Town
Zip code-
Street

Workplace data
I don't work
Name of company *
Address
Telephone
Line of business *
Post *

Education (university studies)
I graduated at the Lazarski University only post-graduate studies, MBA or doctoral studies.

I graduated from Lazarski University in (year) *
I passed graduation examination defending my: *
Department *
Field of studies in: *
I graduated in another field of studies

Education (post graduate studies, MBA, doctoral studies)
I graduated from *
Name of university *
Name of studies *
Graduation year *
I do not want to participate in the Alumni Club Card Project

Alumni Club Card
Method of card delivery *
Are you interested in participating in the project as a company representative?
I got acquainted with the Graduates’ Club Card Project Information.
*

Additional information
Do you want to take active part in the Alumni Club activities? Yes   No
I hereby give consent to use and process my personal data by Lazarski University based in Warsaw, 43 Świeradowska Street, in order to become a member of Lazarski University Alumni Club, in accordance with Article 6 par. 1 (a) General Data Protection Regulation of 27 April 2016 (OJ L 119 4.05.2016).
I hereby give consent to use and process my personal data by Lazarski University based in Warsaw, 43 Świeradowska Street, for the needs of marketing, in accordance with Article 6 par. 1 (a) General Data Protection Regulation of 27 April 2016 (OJ L 119 4.05.2016).
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to send commercial information to me with the use of electronic communication means in the meaning of Act of 18 July 2002 on the provision of services online (Journal of Laws 2017.1219, uniform text).
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to use terminal telecommunications equipment of which I am a user for the needs of direct marketing in accordance with Article 172 Act of 16 July 2004 Telecommunications law (Journal of Laws of 2016, item 922, uniform text).
I hereby give consent to use and process my personal data by Lazarski University based in Warsaw, 43 Świeradowska Street, in order to open an email account (Windows Live) @lazarski.pl in accordance with Act of 29 August 1997 on the protection of personal data (Journal of Laws of 2016, item 922, uniform text).
I hereby declare that the data provided are truthful and I am knowledgeable about liability for providing untruthful information.
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to transfer my personal data to third parties in order to prepare the Alumni Club Card.
The provision of personal data is voluntary, however, failure to provide them will result in the inability to prepare the Alumni Club Card.

In accordance with Article 13 General Data Protection Regulation of 27 April 2016 (OJ L 119 4.05.2016), we inform you that:

1. Lazarski University based in Warsaw, postcode 02-662, Świeradowska 43, is the administrator of your personal data.

2. The administrator has appointed a data protection officer available on iod@lazarski.edu.pl.

3 Your data shall be processed in order to:

(a) become a member of the Alumni Club;

(b) participate in the Alumni Club Card project in accordance with Article 6 par. 1 (a) GDPR.

4. Your personal data may also be subject to processing by the administrator in order to:

(a) organise events, conferences, competitions, promotion and surveys;

(b) conduct promotional campaigns, advertising and other marketing activities connected with the administrator’s educational services, including in the form of mailing;

(c) implement promotional campaigns and develop a positive image of the administrator in the public space and the media;

(d) fulfil duties resulting form mutual agreements concerning the provision of information about partners and their products and services, including in the form of mailing;

(e) open an email account (Windows Live) @lazarski.pl;

in accordance with Article 6 par. 1 (a) and (f) General Data Protection Regulation of 27 April 2016, Article 172 Act of 16 July 2004 Telecommunications law (Journal of Laws of 2004, No. 171, item 1800) and Act of 16 July 2002 on the provision of services online (Journal of Laws of 2002, No. 144, item 1204, as amended).

5. Your personal data shall not be subject to automated processing and profiling.

6. Your personal data shall be retained:

(a) in case of processing for the needs of marketing the administrator’s own products based on justified interest, until the justified interest exists or the person involved claims the right to object;

(b) in case of giving consent to process them, until the consent withdrawal.

7. Only entities authorised to have access to personal data in compliance with the provisions of the law, authorised employees and entities the administrator requested or commissioned to process them shall be recipients of your data.

8. You have the right to demand that the administrator give you access to your personal data, the right to rectification, the right to erasure, the right to restriction of processing, the right to object and the right to data portability, and in case of giving consent to process them, you have the right to withdraw that consent at any time (without influence on the lawfulness of the processing performed pursuant to your consent before its withdrawal).

9. You have the right to complain to a supervisory body.

10. The provision of personal data is voluntary, however, necessary in order to perform the tasks for which they are collected. Failure to provide personal data may result in the inability to become a member of the Alumni Club.