Participant Registration Form
XIIIth National Forum of Healthcare Professionals with International Participation
"Healthcare - present and future"
10-11th November 2017
Shumen, Bulgaria
Full Name
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Professional Identification Number
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Personal Identification Number or Passport Number
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Place of Residence / Country, Town, Address
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Current Job
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Phone Number
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E-mail
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Type of Participation
Registration fee
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Paid Fee
Please write down the number and date of the payment order for paid participation fee.
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Official Dinner - 30 leva
I would like to receive an invoice
Invoice Details
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This registration form is filled in by each participant regardless of whether they present a report, a poster, or they are in co-autorship.
The participants organize their stay on their own during the conference !
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