Declaration for membership applications and renewals

INSTRUCTIONS: Please note these definitions and timeframe guidance, and then complete the question below.

Alcohol industry: The term ‘alcohol industry organisation’ is defined to include manufacturers of alcoholic beverages, wholesale distributors and major retailers or importers that deal solely or predominantly in alcoholic beverages or whose primary income comes from trade in alcoholic beverages, but excludes governmental bodies such as alcohol monopolies with a strong commitment to protecting public health and welfare as an operating principle. It also includes business associations or other non-State actors representing or largely funded by private alcohol industry organizations, as well as other business, trade, advocacy, public relations, charity, and social aspects organisations with financial or non-financial ties to the alcoholic beverage trade.

An ‘alcohol industry actor’ is defined as a person who works or has recently worked for or on behalf of an alcohol industry organisation. For the avoidance of doubt, a person who has merely been in casual employment in a bar or shop selling alcohol should not be deemed on that basis to be an alcohol industry actor. Similarly, merely receipt of research funding by an alcohol industry organisation is not a criterion for exclusion as an industry actor (but needs to be declared).

Timeframe: Declarations are not normally expected to cover a period earlier than the previous three years, however, you should declare any earlier circumstances that could be perceived as a conflict of interest of sufficient significance or size such that they are likely to be embarrassing to the individual or to KBS if not declared and later come to light, bearing in mind a KBS commitment to full transparency.

* Declaration: given the above guidance, please select one box below and where relevant, declare any circumstances by which you may be deemed to be an ‘alcohol industry actor’, see above.

I have no relevant circumstances to declare.
I have relevant circumstances to declare. Please provide full details below.
Ticking this box/providing further details does not necessarily mean that you will be deemed to be an alcohol industry actor, therefore, if in doubt, please declare.

Please provide all relevant details:

* Please tick this box to indicate that you agree to let KBS know immediately (KBS secretary: a.laslett@latrobe.edu.au) if any new circumstances arise that would change your answer to the above.
1. General terms
 
The Kettil Bruun Society for Social and Epidemiological Research on Alcohol (KBS) highly values your privacy.  KBS process, store, and secure the personal data with the utmost care in accordance with the General Data Protection Regulation (GDPR).
 
All personal data passed on to the KBS for KBS Society purposes will be treated as confidential. Limited personal data are collected, held for the following reasons and used in the following ways:
  1. for members of the Society, for the performance of registration of membership,
  2. for communication about KBS official activities, including annual and thematic meetings and committee activities,
  3. for attendees of the KBS Annual symposia, for the organisation of the symposia,
  4. for Annual KBS symposia alongside abstracts and papers in the KBS archives – these details act as official records of the KBS symposia proceedings and contribute to research dissemination and collaboration.
The information will not be re-used for any purpose incompatible with the aims and functions of KBS. When personal data are no longer needed for the purposes for which these were collected, the collected data will be destroyed or anonymously processed.
 
KBS process your personal data because you gave (explicit) consent. If you give KBS consent to process your (special) personal data for specific purposes, you can withdraw your consent at any moment.
 
When KBS provides data to a third party (i.e. Annual Symposia organizers), KBS make agreements with this party such as (i) that they cannot use these personal data for any other purposes than those for which the personal data are being provided and (ii) that they take security measures needed for protecting the personal data.
 
KBS takes appropriate technical and organizational security measures required to protect your personal data against loss, misuse, and unauthorized access by others.
 
KBS optimizes security, for instance by:
  1. saving data separately and using encryption, where appropriate;
  2. using password protection;
  3. limiting access to your personal data (only those people needing access for purposes outlined above will get access);
  4. contractual provisions to confidentiality.
2. KBS Membership, for those who join the Society
 
In joining KBS you acknowledge that your name and email will be:
  1. used for the performance of registration of KBS membership and follow up,
  2. used to communicate to you about KBS official activities, specifically, annual and thematic meetings and committee activities, e.g., voting,
  3. stored by the Co-ordinating Committee while you are a member and for up to 5 years after your last membership payment.
3. KBS Symposia
 
All personal data passed on to the KBS Annual Symposium organizers will be treated as confidential. The data is necessary for the performance of the registration. The information will not be re-used for an incompatible purpose. The data will be stored on Annual Symposium website for 12 months after the Symposium. Thereafter, participants’ names, abstracts and articles will be transferred to the KBS archives, hosted on the www.kettilbruun.org website. Data shall be delivered to assigned service providers, as deemed necessary for the successful performance of the Symposium. The organizers of the Annual Symposium will only disclose information to third parties if that is necessary for the fulfilment of the purpose(s) identified above. Full papers and abstracts will be made available on the Annual website to registered Symposium participants and authors.
 
If you participate in KBS annual or thematic symposia:
  1. your name and research presentation title will be made publicly available as part of the program at symposia associated with the official KBS website www.kettilbruun.org,
  2. your abstract and draft paper will be archived at www.kettilbruun.org, along with your name and email in perpetuity (with these archives available only to KBS members),
  3. conference delegate emails will be used to promote future KBS symposia and thematic meetings, but not for any other promotional purpose
When you make use of the Annual Symposium website to provide a payment, we will process personal data – depending on what is required in the specific case – among which name, surname, address, postal code, city, bank account or credit card number.
 
The Annual Symposia organizers process your personal data based on your consent and you are at all times entitled to withdraw your consent. This does not affect the lawfulness of processing based on consent before the withdrawal.
 
 4. Rights, data protection and management
 
Right to access. You are entitled to ask KBS which personal data concerning yourself we process. You can make a request to access these personal data and ask KBS for a copy thereof.
 
Correction. You can request KBS to correct your data. For instance, if you wish to receive mail or any other (digital) correspondence from KBS at a different address, then you can request that KBS correct these data. If your your last name changed, you can also request that KBS change your data.
You also can request that KBS adjust your data should these data appear to be incorrect or incomplete. KBS will promptly adjust your data.
 
Complaints. Should you wish to put in a complaint about the use of your personal data you can contact Dr Florian Labhart at flabhart@addictionsuisse.ch .
Dr Florian Labhart is independent and monitors compliance of the GDPR on behalf of the Kettil Bruun Society.
 
Dr Florian Labhart (KBS Data manager officer)
Addiction Switzerland
Research Department
Avenue Louis-Ruchonnet 14
1003 Lausanne
Switzerland
T: +41 21 321 29 51
Email: flabhart@addictionsuisse.ch
 
The Privacy Statement was last updated May 24, 2024.
 
* I agree with the "Privacy Statement"

From personal resources: € 35 per year
From institutional resources: € 80 per year

Renewal of membership: If you do not know your current payment status, please contact KBS Treasurer Elin K. Bye for an update

Personal resources Institutional resources
2024 € 35 € 80
2024-2025 € 70 € 160
2024-2026 € 105 € 240
Credit card (Visa, Mastercard, AmEx)
Bank transfer (details below)

Payments per credit card are to be done directly after submission of this form.

Date and time of submission: 27 July 2024, 09:43

Your IP address: 18.225.235.197

General information

Bank transfer

Kettil Bruun Society
DNB
Dronning Eufemias gate 30,0191 Oslo
Postboks 1600 Sentrum, 0021 Oslo
Norway
Account No. 15060362790
IBAN: NO4515060362790
BIC: DNBANOKKXXX

Treasurer

Elin K. Bye
Norwegian Institute of Public Health
Department of Alcohol, Drug and Tobacco Research
PO Box 4404, Nydalen, N-0403 Oslo, Norway
elin.bye@fhi.no