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Users Validation

User*:

Password*:

Profession:

Applicant information details

Name and Surnames:

Centre:

Department:
 

E-mail*: Telephone/Extension

Information details of the Service

Activity:

Video record    Photography (consult conditions)

Videoconference      Broadcast

Audio record      Other

Building:

Location* (hall,office, classroom, etc):

Date of the event*: Start time: Estimated duration:
min.
 

Output file format:         

Attach program:

 Comments: