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Congress World Registration Form
Masterclass & Workshop in Minimally Invasive Pediatric Surgery
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REGISTRATION FORM
The online registration is only for attending the Masterclass on 11/10/2024.
The 1
st
& 2
nd
part of the Workshop will not be available online.
Please fill in below all the required fields with CAPITAL LETTERS.
All fields with an asterisk *are mandatory.
Fist name
*
Last name
*
Title
*
Specialty
*
Affiliation
*
Mobile phone
City
*
Country
*
Email
*
Registration Category
*
Physician –
0,00 €
Medical Student –
0,00 €
Other –
0,00 €
Please define
*
SUBMIT