C.I.S.S.P.A.T. - Centro Italiano Sviluppo Psicoterapia a Breve Termine

CISSPAT

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P.zza De Gasperi, 41 - 35131 Padova (Italy) - Tel. +39 049.650861 - Fax +39 049.8779871
E-mail: info@cisspat.edu

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Name*		on the Psychologist register
Surname*		Y N
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Town		on the Psychotherapist register
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E-mail*		Attended courses
Qualification		T.A. di Base T.A. Superiore Corso quadriennale c/o CISSPAT SILAE ALTRI
Professional Qualification
Message

Informative note - Decree Law 196/2003
C.I.S.S.P.A.T. e le società collegate: SILAE - ECAAT - IST. LÜSCHER - SEZIONE DI IPNOSITERAPIA - SEZIONE DI LOGOANALISI - SISPAB s.r.l. - PSYCHE NUOVA, declares that the data inserted will be used for statistical purposes and for sending informative, advertising and promotional material and that it will not be transferred to other persons. Compilation of the data marked with an asterisk is obligatory; if you compile also the data without an asterisk, we will be able to offer you a better service. Concerning your personal data, you may exercise your rights established by article 7 of decree law no. 196, within the limits and conditions foreseen by articles 8, 9, 10 of the cited decree law (additions, changes, up-dating, cancellation, etc. to the data supplied).
Yes, I agree to the handling of the data for the purposes mentioned in the informative note.