Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Entity/Organiztion Name *Type of Entity *GovernmentProfitNon-ProfitTech LeaderEntity/Organization Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryOrganization Email *Organization Phone Number *Organization Website / URL *Year of EstablishmentSection DividerName *FirstLastTitle/Position *Email *Phone Number *Section DividerArea of Interest *ResearchTechnology DevelopmentTrainingPolicy DevelopmentCollaboration Objectives: *Desired Outcome/Impact of Collaboration *Section DividerCurrent Blockchain Initiatives/Projects:Relevant Products/Services/Expertise:Resources Available for Collaboration:Section DividerCompliance with Relevant Laws..? *AgreeDisagree**Dubai Blockchain Center Data Protection and Privacy Policy** This Data Protection and Privacy Policy outlines our commitment to protecting your personal information and explains how we collect, use, share, and protect the information you provide when you use our services. By accessing or using the Dubai Blockchain Center, you consent to the practices described in this policy. ### 1. Information We Collect We may collect and process the following information: - **Personal Information:** This includes but is not limited to your name, contact details, identification information, and other information voluntarily provided by you. - **Usage Information:** We may collect information about how you use our services, including log files, IP addresses, and device information. ### 2. How We Use Your Information We use the collected information for the following purposes: - **Providing Services:** To offer and maintain our services, personalize content, and communicate with you. - **Legal Compliance:** To comply with applicable laws, regulations, or governmental requests. - **Security:** To protect against unauthorized access, maintain data security, and investigate potential violations. - **Analytics:** To analyze and improve the performance and functionality of our services. ### 3. Data Sharing We do not sell, trade, or rent your personal information to third parties. We may share information with third parties only in the following circumstances: - **With Your Consent:** When you provide explicit consent for the disclosure. - **Service Providers:** We may engage third-party service providers to assist us in providing and improving our services. - **Legal Requirements:** To comply with applicable laws, regulations, or legal processes. ### 4. Security Measures We take appropriate technical and organizational measures to protect your personal information. However, no system is entirely secure, and we cannot guarantee the security of your data. ### 5. Cookies and Similar Technologies We use cookies and similar technologies to enhance your experience and collect information about your usage of our services. You can manage your cookie preferences through your browser settings. ### 6. Your Rights You have the right to access, correct, or delete your personal information. You may also have the right to object to the processing of your data or request its portability. To exercise these rights, please contact us at [contact@email.com]. ### 7. Changes to the Privacy Policy We may update this Privacy Policy from time to time. *AgreeDisagree *I, on behalf of [Your Organization/Entity Name], hereby grant consent to submit and provide the following information to the Dubai Blockchain Center. I understand that the information provided will be collected, processed, and stored by the Dubai Blockchain Center in accordance with its Privacy Policy. By submitting the following details, I agree to the terms and conditions set forth in this consent formSection DividerUpload Relevant Document(s) Click or drag a file to this area to upload. Section DividerI, hereby declare and confirm my understanding and acceptance of the terms and conditions outlined by the Dubai Blockchain Center for accessing and utilizing its online services, which include but are not limited to websites, applications, and associated platforms. By accessing and using the online services provided by the Dubai Blockchain Center, I acknowledge and agree to the following: 1. **Accurate Information:** I certify that all information provided by me during the registration or use of online services is accurate, complete, and up-to-date. I understand that providing false or misleading information may result in the suspension or termination of my access to these services. 2. **Security Responsibilities:** I am responsible for maintaining the confidentiality of my login credentials, account information, and any other personal data associated with my use of online services. I will take reasonable measures to prevent unauthorized access to my account. 3. **Compliance with Policies:** I agree to comply with all applicable laws, regulations, and the policies established by the Dubai Blockchain Center. This includes adherence to data protection and privacy policies, code of conduct, and any other terms of service specified by the organization. 4. **Usage of Personal Information:** I understand that the Dubai Blockchain Center may collect and process personal information for the purpose of providing and improving its services. I consent to the use of my data in accordance with the organization's privacy policy. 5. **Ethical Conduct:** I commit to engaging in ethical and respectful behavior while using the online services. I will refrain from activities that are unlawful, harmful, or disruptive to the services or other users' experiences. 6. **Intellectual Property Rights:** I acknowledge that all content, materials, and intellectual property presented through the online services are the property of the Dubai Blockchain Center or its licensors. I will respect and not infringe upon these rights. 7. **Termination of Services:** The Dubai Blockchain Center reserves the right to terminate or restrict my access to online services without prior notice if I violate any terms or policies outlined herein. By clicking "I Agree" or accessing the online services, I affirm that I have read, understood, and agreed to abide by the terms and conditions set forth in this declaration. I acknowledge that this declaration of authenticity and understanding constitutes a legally binding agreement between myself and the Dubai Blockchain Center. *AgreeDisagreeUpload Authorized Signature * Click or drag a file to this area to upload. Date / Time *DateTimeSection DividerEntity/Organization Email *Entity/Organization Phone Number *Submit