Česká národní banka


Course application form

The seminars are only targeted at experts from partner central banks.

I.

PERSONAL INFORMATION

First name(s):*
Surname:*
*
Male
Female
Date of birth (day/month/year):*
Passport number:*
Visa:
I need an invitation letter to obtain a visa.
Embassy I will be applying to:

II.

EMPLOYMENT INFORMATION

Bank:*
Telephone number:*
  (in international format)
Fax number:
  (in international format)
E-mail address:*
Current position/job title:*
Department:*

III.

CONTACT PERSON FROM YOUR CENTRAL BANK
(responsible for technical assistance)

First name(s):*
Surname:*
E-mail address:*

IV.

LANGUAGE SKILLS
Please select the number that best corresponds to your English ability in each of the following categories
(5 = native-speaker level)

Reading:*
Writing:*
Speaking:*
Oral comprehension:*

V.

SEMINAR SCHEDULE IN 2018

Cash Circulation Management in the Czech Republic (4 – 6 April)
Statistics at the CNB (16 – 18 April)
Payment and Securities Settlement Systems and Payment Systems Regulation (17 – 19 September)
Role and Practise of Internal Audit in a Central Bank (8 – 9 October)
Selected Issues of Central Bank Governance (24 – 26 October)

VI.

CONSENT TO PERSONAL DATA PROCESSING

 

By ticking the box “I CONSENT TO THE PROCESSING OF PERSONAL DATA”, I agree that the Czech National Bank, registered address Na Příkopě 28, 115 03 Prague 1, company ID 48136450, as a personal data controller (“controller”) pursuant to Articles 4(n), 5(4) and 11 of Act No. 101/2000 Coll., on Personal Data Protection and the Amendment of Other Acts, as amended, may process personal data for the purposes of the application to attend foreign technical assistance seminars.

The controller will process the following personal data: name, surname, gender, date of birth, passport number, work phone number, work fax number, work e-mail address, name of position, department, language skills. The personal data will be processed by the controller in an automated manner. The controller will store the personal data for a period of one year. The personal data will not be made available to third parties.

I am aware that I may revoke the consent to personal data processing at any time. Consent can be revoked by sending an e-mail to: Jan.Malek@cnb.cz.

If the consent to personal data processing is revoked, I am aware that it will then be impossible to process the application to attend foreign technical assistance seminars.

I hereby confirm that I have been advised of my rights arising from the processing of personal data, notably the right of access to personal data, the right to have personal data rectified, the right to withdraw consent to the processing of personal data, the right to request remedy of a situation which is contrary to the law, especially in the form of suspension of handling of personal data and the rectification, amendment or removal of personal data, and the right to file a complaint with the Office for Personal Data Protection. Pursuant to the General Data Protection Regulation – Regulation (EU) 2016/679 of the European Parliament and of the Council (“GDPR”) – a natural person also has the right of erasure of personal data and the right of limited processing of personal data under the conditions laid down in GDPR.

Consent to the processing of personal data:*
I agree to the processing of the personal data stated on this form.
 All fields marked with an asterisk (*) are mandatory.