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Student Registration Form
ХІІІ-th National Forum of Healthcare Professionals with International Participation
"Healthcare - present and future"
10 - 11th November 2017, Shumen, Bulgaria
Full Name *
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Personal Identification Number or Passport Number *
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Educational Institution *
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Student Faculty Number *
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Place of Residence / Address *
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Phone Number *
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E-mail: *
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Type of Participation *
Registration fee *
Paid participation fee - please write down the date and number of the payment order: *
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Official Dinner - 30 lv. *
Would you like to receive an invoice ? *
Invoice Details
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This registration card is filled in by each participant regardless of whether they present a poster or they are non-speakers.
The participants organize their stay on their own during the Healthcare Forum.
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