Registration form Module 2 Hemato-oncology (nov 2017)
Problems with the form? Please contact Academy@prinsesmaximacentrum.nl
Master Course Pediatric Oncology - A comprehensive educational program
By submitting this form you are registered for Module 2 Hemato-oncology, 2 & 3 november 2017, of the Master Course Pediatric Oncology. The Master Course consists of four modules. You can register for the other modules later on.
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Years of experience in working in the field of pediatric oncology
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Registration & payment
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Information about the payment procedure will be provided later on.
Please let us know when you have special dietary needs
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Insurance & cancellation
By submitting your registration you agree to the insurance & cancellation policy.

A refund of the registration fee will only be available if you notify us of your cancellation by email more than 30 days before the date of the event.

The organization does not accept liability for individual medical, travel or personal insurance. Participants are strongly advised to take out their own personal insurance policies.

Scholarship
If you wish to apply for a scholarship (requirements: see website), please send your letter of application separately to: Academy@prinsesmaximacentrum.nl.
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