====== Company/Institution Data Submission Form ======

<WRAP rightalign>
[[ formulari_dades_empresa | Formulari en català]]  |  [[ formulario_datos_empresa | Formulario en castellano]]
</WRAP>

Use this form to submit the contact and fiscal data of your institution or company to the NMR Service at Universitat Autònoma de Barcelona. We will contact you upon verifying your submitted data.

<form>
Action mail miquel@sermn02.uab.cat s.rmn@uab.cat @@E-mail@@

Subject  "Submission of company information to Servei de RMN, UAB"

Thanks "Thanks for submitting your data. You should receive a copy of your request by email. we will only get in contact with you if we have questions about the submitted data."

static "Fields marked with an asterisk (*) are mandatory."


Fieldset "CONTACT DATA OF THE APPLICANT"
textbox "First and last name"
email "E-mail"
textbox "Phone" /^[0-9 \/()+\-]+$/
static " "


Fieldset "APPLICANT COMPANY FISCAL DATA"
textbox "Company name"
textbox "VAT No."


Fieldset "APPLICANT COMPANY ADDRESS"
textbox "Department/Unit" !
textbox "Adress"
textbox "." !
textbox ".." !
textbox "City"
textbox "ZIP code"
textbox "Country"
textbox "Phone" /^[0-9 \/()+\-]+$/ !
textbox "Website"


Fieldset "COMPANY INVOICING DETAILS"
static "Required only if different from the above information."
textbox "Company name"
textbox "VAT No."
textbox "Adress" !
textbox "." !
textbox ".." !
textbox "City" !
textbox "ZIP code" !
textbox "Country" !


fieldset "CONTACT PERSON FOR ADMINISTRATIVE ISSUES"
textbox "First and last name" !
email "E-mail address" !
textbox "Phone" /^[0-9 \/()+\-]+$/ !
static " "


fieldset "AUTHORIZATION OF DATA PROCESSING" "I abide by SeRMN regulations"

static "Your personal data submitted through this form will be incorporated to the databases of the NMR Service (SeRMN) and Accounting Office (AEiF) at Universitat Autònoma de Barcelona (UAB). The purposes of those databases are: to control the access to the SeRMN space, to control de usage of the SeRMN scientific equipment, and the administrative management by SeRMN and AEiF. Universitat Autònoma de Barcelona is the owner of the database, and the SeRMN and AO are the responsible units."

wiki "Your data will be handled according to the provisions of the European Union General Data Protection Regulation (EU) 2016/679 (GDPR) and the Organic Law 3/2018, of December 5, on Data Protection and Guarantee of Digital Rights (LOPD), and will be used exclusively for purposes related to the NMR Service. According to the GDPR & LOPD, you have the right to recant at any time the given consent for the processing of your personal data, as well as to exert the rights to access, to correct, to cancel and to oppose before the UAB General Secretary, through the [[http://sermn.uab.cat/contact-form/ | SeRMN contact form,]], or by sending an email message to the address [[s.rmn@uab.cat.]]"

yesno "I authorize to use the submitted data"  "=Yes I authorize you" "!No I do not authorize you"

wiki ":info: **You must authorize the use of your data to complete the submission.**"


fieldset "" "I authorize to use the submitted data"
submit "Submit the data"

</form>