Registration for the EMSA Autumn Assembly 2017
2nd-7th September, Budapest
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Email *
Name *
Surname *
Date of birth *
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/
DD
/
YYYY
Country *
Nationality *
e.g. Irısh
Phone number *
Emergency contact *
Name, relation and phone number of your emergency contact
Your level of English *
Estimate your English level for us (no certificate is requested, we just want to get an overview of our participants’ average English level)
What is your motivation to attend the AA'17? (Your motivation letter will be considered for the selection process and has a limit of 250 words.) *
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