Please only use this form for a new registration. For a change request please send an email to kfardel@fardelorganisation.chnew registration Nature Conservation Work Buuseregg - October 20 2023 - 9:00am until 4:30pm Employee ID Find your employee ID number on your badge First name Pls enter your first name Last name Pls enter your last name Email Enter your email address Phone number Enter a phone number (+41 (x) xx xxx xx xx) LanguageD - deutschE - english Do you speak German or is English your preferred language? Genderfemalemalediverse Pls tell us about your gender Car availablenoyes, 1 seat freeyes, 2 seats freeyes, 3 seats freeyes, 4 seats free Do you have a car with free seats? Remark Anything else you want to tell us Consent declaration for image, film and sound material and image and sound recordings I agree that all photographs and/or video recordings showing me in connection with the RDI Volunteering Week may be used and published by Roche and its affiliates internally and externally for public relations purposes (printed material as well as online content) and may also be passed on to third parties, general media and press offices. This declaration of consent is unlimited and universal and includes the right of reproduction, distribution and public performance without any remuneration. I declare being an internal employee of Roche Basel (Schweiz) AG, department PDMA Only internal employees of Roche Basel (Schweiz) AG, department PDMA can join.