EMCC March 20-22th 2023 UZ Gent

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EMCC March 20-22th 2023 UZ Gent - Registration Form

This is the official registration form for the Emergency Medicine Core Competencies in Gent March 20-22th 2023.

Respected colleagues, please fill in this form and don't forget to click on 'SUBMIT'.

Name and Surname *

Date of birth

YYYY

Personal mobile number
*

Personal email
*

Country *

Profession *

Emergency Physician

Emergency Medicine Resident

Nurse/Paramedic

Other: Specify:

Besedim Member *

Yes

Dietery preferences or allergies

Additional questions or comments

Need more info?

http://emcc.nu/

or contact veronique_brabers@hotmail.com

In case of late cancellation (within 30 days before the course), a doctor's certificate or equivalent is required for reimbursement.

Looking forward to meet you!

Dr. L. Lyphout & Dr. V. Brabers

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