Database form

Name
  Allow posting this contentYesNo

Surname
  Allow posting this content YesNo

Second Last name
  Allow posting this content YesNo

Profession
  Allow posting this content YesNo

Work place name
  Allow posting this content YesNo

Work Place Address, location and Country
  Allow posting this content YesNo

Work Place Email
  Allow posting this content YesNo

Work Place Website
  Allow posting this content YesNo

Work Place Phone number
  Allow posting this content YesNo

BSPTS Certified Level
  Allow posting this content YesNo

Certified Year
  Allow posting this content YesNo

Personal Photo (Image format:JPG,PNG max. file size 4Mb)  Allow posting this content YesNo

Authorization
 I, (the owner of the person in this form) grant permission to Rigo Concept BSPTS for the use of the photograph(s) and professional data as identified below in the Rigo Concept BSPTS website. I understand that I may revoke this authorization at any time by notifying it to info@bspts.net. The revocation will not affect any actions taken before the receipt of this written notification. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived.
Do you want to publish this data?yesno