Registration Form

Service *

* To register with Genome Analysis Platform, please use this form instead.


User data
Name * 
Surname * 
Dept./Unit * 
Address * 
Postal code *  City * 
Telephone *  Ext.
Fax
E-mail * 

Invoice Data
Centre/Institution * 
NIF/CIF/VAT number * 
Address * 
Postal code *  City * 
Telephone *  Ext.
Fax
E-mail * 
Bank Account Number * 

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In accordance with the arranged text in Statutory law 15/1999 of 13 of December, about Protection of Personal Data, be aware that we will conserve your personal data in a file which CIC bioGUNE is responsible (ASOCIACIÓN CENTRO DE INVESTIGACIÓN COOPERATIVA EN BIOCIENCIAS) during a term of two years for future processes of selection that this society can perform. You have right to accede to these data, to rectify them or to cancel them writing to the Department of Human Resources of CIC bioGUNE, Technological Park of Bizkaia, Ed. 801-A, 48160 Derio (Bizkaia).