Corsi di formazione, aggiornamento, ECM: Prossimi 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

Male

Female

Place of birth

Country

Town

District

ZIP code

Tax code

Type of attendee

Sponsor

Residence data

Country

Town

District

ZIP code

Address

Address data

Address different from residence

Country

Town

District

ZIP code

Address

Phone numbers / Email

Telephone

Mobile

Fax

E-mail


Data for invoice
Name
	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)

Payment by credit card

Other

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Attualmente non sono aperte le iscrizioni a nessun corso

Non è possibile iscriversi on-line.

Registration for the Symposium: MR GUIDED RADIOTHERAPY: STEPS INTO THE FUTURE from 06/06/2022 to 13/06/2022. has been closed on: 02/06/2022

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