Sede di Roma
Corsi di formazione, aggiornamento, ECM

Instructions for completing:

As regards "Town" field, please enter at least 3 characters, the towns that match what you are typing will appear in a menu, then select the town of interest. The manual input in this field will be discarded.
If the town is not in the list , please write "Not listed" and enter the name of the town in the last field "Membership information and notes".
If residence and address data do not match, please tick the box "Address different from residence" and enter the address data.
If "Medical Doctor" is chosen as profession, it is also mandatory to select the "Discipline".


Symposium
Event Label
Personal information
Surname Name
Date of birth
 (dd/mm/yyyy)		 Gender
Place of birth
Country Town
District ZIP code
Tax code
Type of attendee Sponsor
Residence data
Country Town
District ZIP code
Address
Address data
Country Town
District ZIP code
Address
Phone numbers / Email
Telephone Mobile
Fax E-mail
Data for invoice
  Address for invoice same as residence address
Country Town
District ZIP code
Address
VAT number  
Cod. Univoco E-mail PEC
Profession
Recruitment
Affiliation
Profession
Discipline
Another Profession (not medical)
Curriculum
Membership information and notes
 
I declare to be aware of the sanctions concerning false statements according to L. 4/1/1968 n°15, L. 127/97 and DPR 10/10/94 n° 403
The data requested from you will be processed by the Catholic University of the Sacred Heart, in its capacity as Data Controller, in compliance with the provisions of European Regulation 2016/679 ("GDPR")
 
Price list
 (Please select the payment method)


Attualmente non sono aperte le iscrizioni a nessun corso

Non è possibile iscriversi on-line.


Registration for the Symposium: INTERDISCIPLINARY TEACHING COURSE ON HEAD AND NECK BRACHYTHERAPY from 01/12/2019 to 03/12/2019. has been closed on: 27/11/2019

For any questions, please contact us at the following email address: raffaella.empler@unicatt.it

Registration has been successfully completed.
You will receive an email notification to confirm your registration for the symposium.

For any questions, please contact us at the following email address:
raffaella.empler@unicatt.it

Iscrizione avvenuta regolarmente.
Per un inconveniente tecnico non è stato possibile spedire la mail con la conferma dell'avvenuta prenotazione di iscrizione al corso.

Il sistema proverà ad inviarle la mail in maniera automatica nei prossimi giorni

For any questions, please contact us at the following email address:
raffaella.empler@unicatt.it



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