Individual Registration
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All badges give access to :
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Exhibition area
Congress bag
Attendee identification
*
Title
***
Mr
Mrs
Dr
Pr
Other
*
First name
*
Family name
Birth date
(jj/mm/aaaa)
TO LEARN MORE ABOUT YOUR PROFESSIONAL PRACTICE:
*
Hospital/Institution/Company
*
Specialities
***
Anesthesia-intensivecare
Cardiology and cardiovascular disease
PediatricsCardiology
Chirurgie cardio-vasculaire
Endocrinology
Epidemiology
Medicalgenetics
Gériatrie
Industrie
Médecine d'urgence
Médecine du travail
Médecine générale
Médecine interne
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Médecine vasculaire
Nephrology
Neurology
Paramedical
Pediatrics
Pharmacology
Physiologie
Pulmonology
Radiology
Research
Other
Other
*
Practice
***
Hospital
Private
Mixed
Non-employed in an hospital
Army
Other
Other
Hospital function
***
PU/PH
MCU/PH
PHU
PH
CCA
AHU
AHG
DES
Clinical research associate
Medical technician
Nurse
Not Applicable
Category
***
Chef(fe) de pôle
Chef(fe) de service
Praticien(ne) hospitalier(ère)
Libéral(e)
Attaché(e) de recherche clinique
Retraité(e)
Etudiant(e)
Paramédical(e)
Other
Other
Main activity
***
Cardiologie Interventionnelle
Rythmologie Interventionnelle
Angiologie
Phlébologie
Cardiologie Pédiatrique & congénitale
Cardiologie en cabinet libéral
Ma spécialité n'est pas la cardiologie
TO CONTACT YOU:
Address
*
City
Zip code
*
Country
***
AFGHANISTAN
ALAND ISLANDS
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ALGERIA
AMERICAN SAMOA
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ANTARCTICA
ANTIGUA AND BARBUDA
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ARMENIA
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BAHRAIN
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Visa Application
I need an invitation letter for my VISA application
*
Full name
*
Date of birth
(dd/mm/yyyy)
*
Place of birth
*
Citizenship
*
Passport Expiry date
(dd/mm/yyyy)
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Passport number
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Place of issue
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REGISTRATION
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