IHU Strasbourg | ITEC course registration

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Your personal information
You are:(Required)
- Mr.
- Mrs.
Your identity(Required)
First name Last name
Nationality(Required)
Phone number(Required)
Email(Required)
Enter email Confirm email
Professional address(Required)
Hospital / Clinic / Institute / Compagny Address City State / Province ZIP / Postal Code Country
Please upload your CV and your Cover Letter(Required)
Drop files here or
Accepted file types: pdf, jpg, Max. file size: 1 GB, Max. files: 2.
If you're having trouble reducing your file size, you can use online tools like smallpdf.com.
Event details
Specialty(Required)
If you have selected "other", please specify.(Required)
Dates of selected event:(Required)
- ITEC - 19-21 June, 2024
- ITEC - 4-6 December, 2024
Several choices are possible. Prices are available in the program above.
Presence of a nurse/assistant(Required)
- Yes
- No
Information from your nurse/assistant
First name Last name Email Nationality
How did you hear about this event?
Comment(s)
GDPR(Required)
I certify that I have read and understood the terms and conditions and the privacy policy.
The collection of above information is necessary to process your request. The collected data is for the exclusive use of the Institute of Image-Guided Surgery (IHU Strasbourg) and will under no circumstances be communicated to third parties.
Email
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Your personal information