By clicking Submit below, we will collect and use your information for International Quantum Business Conference.

First Name

Surname

Email Address

Link to personal Linkedin profile

Telephone

Company/Entity Name

Entity Website

Job Title

Role of Company User of quantum technologies Developer of quantum technologies Other

Affiliation type University Company with less than 20 employees Company with 21-250 employees Company with more than 250 employees Research and Technology Organisation (RTO) Gov. Organisation Private Person Other

Industry/Quantum application Quantum computing Quantum communications Artificial Intelligence Cyber Security Software Hardware and equipment Data Services Telecommunications IT consulting Robotics Finance and Insurance Energy Retail Education Life sciences Health Manufacturing

Country Afghanistan Aland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Chinese Taipei Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Republic of the Congo Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Would you like to attend the dinner on October 9th? Yes. Price 120€ (Limited seating)No

Which parallel sessions I & II on 10th October would you like to attend? Scientific TrackBusiness Track

Visit CESGA on the 10th in the afternoon - The visit is fully booked

I consent to receiving marketing communication from Fujitsu as described in above.

I agree to transfer my attendance data to Axencia Galega de Innovación as a sponsor in this event.

I agree to transfer my attendance data to Cesga as a sponsor in this event.

I agree to transfer my attendance data to Juniper as a sponsor in this event.

I agree to transfer my attendance data to Quilimanjaro as a sponsor in this event.

I agree to transfer my attendance data to Ayesa as a sponsor in this event.

I agree to the terms and conditions of Fujitsu (Terms and Conditions for Fujitsu Events) to the event

I have read and accept the additional terms and conditions of participation for this specific event

Acceptance of the services offered is permitted in accordance with my employer's compliance guidelines. I have obtained a necessary permit

I confirm that my employer has properly authorized my participation at the evento in accordance with the aplicable rules (legal requirements and internal policies, including anti bribery & corruption rules, laws and regulations). If required according to the aplicable rules I have informed my employer about the invitation together with all necessary information (including the information regarding benefits in kind according to the additional terms & conditions). I understand and agree that Fujitsu may – depending on the circumstances – request me to provide additional proof for the approval by my employer (e.g. signed letter of Acknowledgement).

Phone

Comments

Submit

From time to time, we would like to contact you about our products, services and events. If you consent to us contacting you by electronic message (e.g. e-mail) or telephone for this purpose, please opt-in to receiving this information by ticking the box below. You can withdraw your consent at any time by contacting us or by following the unsubscribe instructions in any marketing communication you receive from us.

For more information on how we collect and use your personal information, please see our privacy policy.