Testimonial consent form
With your permission we would like to use your testimonial and picture along with your name to properly recognise your contribution and support promotion of ESC activities in our external communications.
Please indicate your role - if any - within the ESC.
Please note to which ESC association, congress or activity your testimonial is referring to.
We encourage you to submit a picture to be included in your testimonial. Portrait size. Format: png or jpeg. Ideally high resolution file. Clean/plain background.
In completing this form, I am granting the European Society of Cardiology (ESC) a nonexclusive, 5-year period, royalty-free, irrevocable and fully sub-licensable right to use, reproduce, modify, adapt, publish, distribute and display my photograph, and my testimonial in whole or in part to publicly showcase on the ESC website, ESC Congress News, ESC publications, ESC emailings and newsletters, journalists’ articles, social media (Facebook, Twitter, Instagram, LinkedIn), ESC mobile apps, and slideshows. I give permission to the ESC to publish my name, position, place of work, and country unless I have expressly asked to remain anonymous. In addition, I waive, to the fullest extent permissible by applicable law, all claims to compensation or damages based on the use of my name, image, likeness by the ESC. The ESC reserves the right not to publish photograph, at any time and to remove photograph without notice after publication at ESC’s sole discretion.
The information collected in this form is subject to data processing to help promote the ESC activities in our external and internal communication, and via press articles and social media. The recipients of the data are ESC Staff for administration and processing, all visitors of the ESC website, readers of the ESC Congress News, ESC publications, ESC emailings, journalists and readers of their articles, Social Media followers, and event attendees. Data collected will be kept for 5 years. In accordance with the chapter 3 of the European Regulation 2016/679 with regards to data protection, you have the right to request from ESC, access to and rectification or erasure of your personal data or restriction of processing concerning your data or to object to processing as well as the right to data portability. For such, please contact dataprivacy@escardio.org (be aware that a proof of identity will be requested during the process via a secured web link) or: Data Privacy / European Society of Cardiology, Les Templiers, 2035 Route des Colles, CS 80179 Biot, 06903 SOPHIA ANTIPOLIS CEDEX, France . You have the right to lodge a complaint with a supervisory authority, and for information, ESC has appointed a Data Protection Officer that you can reach at dpo@escardio.org.