Organizacja Młodych Medyków

EUROPEAN MEDICAL STUDENT'S ASSOCIATION

Registration Form

 

Name

Surname

University

Country

E-mail

Phone number

Title

Authors and Department

Supervisor of the Paper/Poster and Department

Abstract (250-500 words)

Keywords (3-5 words)

EMSA Member? Please choose:
 Yes No

Do you need an accommodation? (20 zl extra per night) Please choose:
 Yes No

Do you need an invoice? Please choose:
 Yes No

Please check if all given data is correct. There will be no chance to change it!
 Yes, it’s correct.

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