INNOVATION and TECHNOLOGY LAW SUMMER SCHOOL ~ Collegio Universitario D. Nicola Mazza

1. PERSONAL INFORMATION

Name*

Surname*

Gender*

Place and date of birth*

ADDRESS*

Address Country of residence Nationality

Mobile phone*

E-mail address*

email repeat email

Current position:*

University / Institution*

2. CURRICULUM VITAE

B.A.:

University

Title of the thesis

Master

University

Ph.D.:

University

Title of the thesis

Other:

PARTECIPANTION FEES

FEE AMOUNT (REGULAR): € 1.000,00 SPECIAL RATES: - EARLY BIRDS (before 04.05.2019): € 850,00 - ALUMNI UNIPD: € 850,00 € - UNIVERSITY STUDENTS OF PADUA UNIVERSITY: 50,00 € ** - TUITION ONLY (only for resident in Veneto): € 350,00 * - UACS students: € 600,00 - HAIFA U. STUDENTS: € 700 THE FEE INCLUDES: tuition; accommodation in single/double bedroom (according to availability) from Monday to Friday; Welcome party (Monday 17 June); Social Activities (as explained in the Programme); lunch in the canteen (from tuesday to Friday); dinner in Venice; closing party. “FIRST COME, FIRST SERVED”: there is limited space available in the School (maximum number: thirty applicants). Application is not held or secured until the completed registration form and the full payment is received by the Administrative Office of the School. For more information, see Terms and Conditions of the Regulation below or contact itlaw.unipd@gmail.com. * Tuition only (3 CFU). Opening cocktail (additional 40 €). Lunches Tue to Friday (additional 40 €) ** Tuition (3 CFU) e opening cocktail. Lunches Tue to Friday (additional 40 €) Closing Dinner (additional 50 €)

3. ACCOMODATION REFERENCE

Lessons will be held at Job Campus (Padua city center) from Monday 17th to Friday 22th of June. In the same location are placed the accommodation and the canteen. Check-in could be done between 2:00 PM to 7:00 PM (on Monday 17th).

PLEASE EXPRESS YOUR ROOM PREFERENCE

single room
double room

Notes

EXTRA NIGHTS: (€ 40,00 person per night)*

NO
YES

Any extra night will be confirmed – according with the availability of the Campus – by the reception staff to your e-mail address after your request. Any extra night will be paid as a separate fee at the check-in.

Number of extra nights*

Earlier check-in

Later check-out

4. PAYMENT DATA

FEE AMOUNT:

TIPE OF PAYMENT*

Bank transfer
Credit card

Bank transfer info Collegio Universitario Don Nicola Mazza Banca Monte Paschi IBAN: IT 35 P 01030 12159 000061511581 BIC: PASCITM1PD9

Name (card holder)*

Surname (card holder)*

Please note that the payment by credit card will be processed between 1-2 days. TERMS & CONDITIONS GENERAL TERMS 1. We do not require a certificate proving your English language skills, but participants should be aware that the language of the Summer School is English and that good command of the English language is required to follow the lectures.
2. The deadline for applications for Innovation and Technology Law Summer School is 10 june 2019. ACCEPTANCE AND PAYMENT 3. You request will be confirm ONLY by:
- Application form (filled out)
- Fee payment In case of payment by credit card, the payment will be handle directly from the Campus and a receipt of payment will be sent as soon as the payment will be processed. In case of payment by bank transfer you will need to prove the payment sending the receipt of the payment to the following email addresses: itlaw.unipd@gmail.com and segreteria@jobcampus.it Without the proof of payment, the only application form does not allow the acceptance to the School. At the same time, if you submit the application form, but you fail to make the payment, the School may give your place to another applicant, until the proof of payment is given. Any acceptance will be confirmed by a letter of acceptance and invite to the Summer School. CANCELLATION AND WITHDRAWAL 4. The Summer School can host thirty people maximum. For the purpose of this Regulation, the criterion of first receipt shall be referred as “first come first served” principle: the first thirty applicants who send their application form (filled out) and will pay the school fee will have guaranteed admission to the school.
5. In case you withdraw from taking part in the Summer School during the fifteen days before the beginning of the School, the amount payed by the applicant shall be completely forfeited. If you withdraw in advance (more than 15 days before the beginning of the School), the School can only give you a refund of the tuition fee paid less the costs incurred by us at the time of the withdrawal. Please note that the institute has to make certain expenses (administrative costs, post fees, booking fees, etc.) a certain time prior to the beginning of the summer school. FINAL PROVISIONS 6. This agreement is governed by Italian law and subject to the jurisdiction of the courts of Italy. 7. In case any clause is found invalid or inapplicable by a competent court, this does not affect the validity or applicability of any other clause of this agreement.

Credit card number*

Date of expiry*

CVV*

*

I assure that I have good command of the English language, which allows me to take active part in the lectures.
I confirm that the information I have given in my application is correct.
I accept that I am responsible for obtaining a Visa (if needed). I accept that I am responsible for my health insurance during my stay in Padua.
Hereby I bind myself to take part in Innovation and Technology Summer School 2019 and to pay the fee specified before. Transfer costs will be covered by myself.
I am authorizing the treatment of personal data according to the GDPR and Italian regulations d.lgs. 196/03

INNOVATION and TECHNOLOGY LAW SUMMER SCHOOL

INTERNATIONAL AND TECHNOLOGY LAW SUMMER SCHOOL

1. PERSONAL INFORMATION

2. CURRICULUM VITAE

PARTECIPANTION FEES

3. ACCOMODATION REFERENCE

4. PAYMENT DATA