+49 (0) 69-7917-363
service@bunsen.de
Varrentrappstr. 40-42, 60486 Frankfurt
☐ MEMBERSHIP APPLICATION ☐ NOTIFICATION OF CHANGE Membership number: __________________
for the Deutschen Bunsen-Gesellschaft für physikalische Chemie e. V. Annual Fee
(DBG, German Bunsen Society for Physical Chemistry)
☐ personal student member1,2 (Bunsen-Magazine only PDF-Version) 0,- €
☐ personal student member1,2 (Bunsen-Magazine printed version) 30,- €
☐ personal junior member2 (until 3 years after entering the workforce) 75,- €
☐ personal double member (available for DECHEMA, DPG, GDCh or GBM members; membership no.: ________________) 90,- €
☐ personal full member 120,- €
☐ corporate member (institutes, libraries, companies etc.) 580,- € for the Deutschen Flüssigkristall-Gesellschaft for the AG Theoretische Chemie
(DFKG, German Liquid Crystalline Society) (AGTC, Working Group Theoretical Chemistry)
☐ personal student member1 0,- € ☐ personal full member 13,- €
☐ personal full member (with DBG membership) 25,- €
☐ personal full member (without DBG membership) 40,- €
☐ corporate member (institutes, libraries, companies etc.) 150,- €
1 certificate of study required, 2 including the membership at young Physical Chemists (yPC, junior organization of DBG)
Personal Data
please fill out in block letters
titel/ first name / last name _______________________________________________________________ Birth date_______________________
(DD/MM/YYYY)
☐ private ☐ business
____________________________________________________________________________________________________________________________
company/ institution
____________________________________________________________________________________________________________________________
street / street no.
____________________________________________________________________________________________________________________________
post box
____________________________________________________________________________________________________________________________
zip code/ city/ country
________________________________________________________ __________________________________________________________________
phone E-Mail
Data protection information / declaration of consent
Your personal data is collected, processed and used by the German Bunsen Society (DBG) in accordance with the European General Data Protection Regulation (GDPR) and German data protection law (BDSG) for the establishment and administration of your membership. In the context of these purposes, your data will only be passed on and used to fulfill the statutory tasks and to provide member support (DBG bylaws: https://bunsen.de/wir- ueber-uns/satzung)
You can receive information about your personal data at any time and correct, delete or block it for the future (service@bunsen.de).
I agree that my date of birth will be included in the birthday list published in the Bunsen-Magazine.
☐ yes ☐ no
I consent to my date of birth and my address and communication data being included in the online membership directory of the German Bunsen Society.
☐ yes ☐ no
I hereby declare ☐ my joining the DBG/ ☐ show changes to my data3 und take note of the information leaflet about data protection and the DBG bylaws.
3Please check the relevant box
Place/Date _______________________________________ Signature ________________________________________________
As of April 2021
As of April 2021 page 1 of 2 Information leaflet
Dataprotaction for Members
1. Name of the responsible body
Deutsche Bunsen-Gesellschaft für physikalische Chemie e.V. (DBG) 2. Management
Chairman: Dr. Florian Budde
Managing Director: Dr. Elisabeth Kapatsina
3. Contact address for the responsible body Varrentrappstraße 40-42, 60486 Frankfurt am Main 4. Purpose of the data processing
Member services, member support, and the realization of the statutes according to § 2 of the DBG bylaws in the version of May, 29, 2014
5. Admissibility of data processing
Member’s declaration of consent, contract/ quasi-contract
6. Recipients or categories of recipients to whom the data is/or will be disclosed
☒ internal
DBG’s employees
☒ external
Service providers, cooperation partners with regard to:
business procurement
tax obligations
software and database application for processing
sending magazines and other correspondence / mailings
invoicing
7. Deadlines for data deletion
Tax data in accordance with legal requirements, 10 years after the annual financial statements in accordance with the tax code.
1 year after the end of the membership and all financial transactions have been completed.
8. Data transmission to a non European Union (EU) country or an international organization If we process data in a third country (i.e. outside the European Union (EU) or the European
Economic Area (EEA)) that occurs in the context of the use of third-party services or disclosure or transmission of data to third parties, this will only take place if it happens to fulfill our (pre)
contractual obligations, on the basis of your consent, on the basis of a legal obligation or on the basis of our legitimate interests
As of April 2021 page 2 of 2 Rights of the Persons concerned
In order to do justice to the transparency and modalities regulated in Art. 12 of the EU GDPR, the person responsible for the matter must subsequently inform the persons concerned about the rights of the person.
a) Right to information (Article 15)
The data subject has the right to ask the person responsible for confirmation of the processing of the personal data in question. The person responsible will provide a copy of the personal data that is the subject of the processing. For all further copies requested by the data subject, the person
responsible may request a reasonable fee based on the administrative costs involved.
b) Correction (Article 16)
The data subject has the right to demand correction or completion of personal data concerning them.
c) Cancellation (Article 17) - "Right to be forgotten"
See point 7: Deadlines for data deletion d) Right to object (Article 21)
If the data subject objects to the processing of personal data for any reason, the controller may no longer process such data unless he/she can demonstrate compelling legitimate grounds for the processing that outweigh the interests, rights and freedoms of the data subject, or the processing serves the assertion, exercise or defense of legal claims.
e) Right to complain to a supervisory authority
Individuals affected have the right to lodge a complaint with the relevant competent supervisory authority.
f) Consequences of non-provision of personal data
Failure to provide or object the processing of personal data of the data subject would result in a withdrawal from the DBG. After expiration of the deletion period or other legal obligations to store all data, personal data will be deleted.
