Information consent form
Information about your involvement and your rights
?? In this case, your participation will consist on [FILL WITH SPECIFICS].
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?? You have the following rights:
Your Rights |
GDPR relevant article(s) |
You can withdraw your consent to the DOME project for its processing of your personal data at any time. |
Article 7 |
You can request access to your personal data processed by the DOME project, and information about the processing. |
Article 15 |
You have the right to receive the personal data that you have provided to the DOME project in a structured, commonly used, machine readable format, where the project has processing this data in an automated way. |
Article 20 |
If your personal data held by DOME is inaccurate, you can request that it be rectified and that this amendment should be processed without undue delay. Similarly, if you feel your personal data is incomplete, you have the right to its completion and can provide a supplementary statement. |
Article 16 |
You have the right to be |
Article 17 |
You can request that the processing of your personal data be restricted in certain circumstances, such as where you are contesting its: accuracy; lawfulness; or that the processing of your personal data is no longer necessary for the purposes I gave your consent. |
Article 18 |
You have the right to lodge a complaint with a supervisory authority. |
Article 57 |
If you have any questions about this activity you can discuss it directly with the team and staff members carrying it out. Alternatively, you can contact Panagiotis Bouklis (panagiotis.bouklis@eurodyn.com).
You are also free to contact Giovanni Frattini, DOME Project Coordinator, with any queries relating the project itself. The Coordinator???Coordinator's email address is Giovanni.Frattini@eng.it
Concerning the exercise of your rights, please kindly send an email to privacy.helpdesk@dome-project.eu.
THE DOME PROJECT STAFF
DOME Informed Consent Form
PARTICIPANT INFORMED CONSENT FORM
Thank you for attending this activity organised on behalf of the DOME Project by [institution]. During this task, notes will be taken and you will be asked to provide your opinions and feedback in your professional capacity. All data collected is confidential and the results will be completely anonymous. The objectives of the Project will be explained and you will have the opportunity to ask questions about the research.
By signing the attached informed consent form, you confirm that you understand that you are consenting to participate in the DOME project funded by the European Union (Grant Agreement number 101084071) and co-ordinated by Engineering Ingegneria Informatica SpA. You confirm that you are aware that the purpose of the activities in which you are participating is to develop a cloud services marketplace for EU users from the private and public sector.
In particular:
1. I confirm that I have read and understood the attached participant information sheet and have had the opportunity to ask questions.
2. I understand that my participation is voluntary and that I am free to withdraw at any time without explanation. Furthermore, I have the right to change my mind about participating in the project within one week after finishing this activity.
3. I understand that the project partners will treat confidentially all information I provide them with and it will be anonymous.
4. I agree to have the name of my organisation stated for the DOME project.
5. I understand that my participation should not result in any potential harm or discomfort or benefit.
6. I understand that activity is conducted also on the basis of a questioning technique and that I have the right to refuse to answer certain questions.
7. I agree that notes are taken during the activity to facilitate the collection of my opinions and feedback.
8. I consent to the project team contacting me, if required, as a follow-up to the research/engagement activity.
9. I understand that the project can be published and presented, but my anonymity will be preserved.
10. I confirm that I have been given the contact details of the partner team in charge of my involvement in the project, and I have been informed that I am free to contact Giovanni Frattini, DOME Project Coordinator, with any queries relating to my data or the project itself. The Coordinator???Coordinator's email address is Giovanni.Frattini@eng.it
11. I agree to participate in this DOME Project activity.
Name of the participant: ................................................................................?????????????????????....
Email: ..............................................................
Tel: .................................................................
Signature of the participant: ................................................... Date...................................????????????..
Name of the staff member: .................................................................................????????????????????????.
Email: .............................................................. Tel: ..................................................................
Signature of the staff member: .................................................. Date........................???????????????????????????