Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form

Personal data will be handled only for the purpose of the registration to the conference, they will not be disclosed to third parties and will be destroyed after the end of the event, as per GDPR 2016

Name *

Surname *

Affiliation *

Address *

Your Position *

Student, PhD, Post-Doc (under 36)

Senior scientist

Sapienza or CNR Scientist/PostDoc/PhD/Student

Have you registered to EBSA?
*

Yes

Are you a member of a National society affiliated to EBSA?
*

Yes

Email *

CRO/TRN Bank Transfer Code *

Codice fiscale (For Italian citizens only)

Food Intolerances or Allergies

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of SAPIENZA Università di Roma.

Does this form look suspicious? Report

Forms