register for event - Endscopy-Hands-On Course

Personal Information

Title

Gender

First name No special characters. Use only letters in the English alphabet. *

Surname No special characters. Use only letters in the English alphabet. *

Date Of Birth (dd/mm/yyyy) *

Country of work *

City of work No special characters. Use only letters in the English alphabet.

Company No special characters. Use only letters in the English alphabet. *

Email *

Invoice

Invoice name/company No special characters. Use only letters in the English alphabet. *

Invoice-street No special characters. Use only letters in the English alphabet. *

Invoice-Post code *

Invoice-City No special characters. Use only letters in the English alphabet. *

Invoice-country *

OTHERS

Current carrer status *

Basic Package *

Letter of Motivation *

Select a file

Please upload a short letter detailing your experience in endoscopy and your learning goals. Only Pdf or word file.

CV *

Select a file

Please upload your CV (max. 3 pages) Only Pdf or word file.

Letter of Support *

Select a file

Applicants who are not members of ESPGHAN, please upload a letter of support of an ESPGHAN member or your supervisor. Only Pdf or word file.

General Terms and Conditions *

I have read and accept the General Terms and Conditions

I accept the use of my data:
– In the legitimate interest of membership benefits (newsletter mailing, Annual Meeting information and registration, voting rights, receipt of JPGN, dissemination of scientific and research related information, Awards and Grants).
– In the planning of educational events and other ESPGHAN related activities.
– To comply with legislation.
For more details, please refer to our privacy policy.