Apply for event - AHP Summer School

Personal Information

Title

Gender *

First name *

Surname *

Date Of Birth (dd/mm/yyyy) *

Country of work *

City of work

Company *

Email *

Invoice

Invoice name/company *

Invoice-street *

Invoice-Post code *

Invoice-City *

Invoice-country *

OTHERS

Basic Package *

I applied to this course before *

CV *

Select a file

Please upload your current CV. Only Pdf or word file.

Motivational letter *

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Please upload your motivational letter. Only Pdf or word file.

Recommandation letter from an ESPGHAN member *

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Please upload a recommandation letter from an ESPGHAN member (any type) in good standing. Only Pdf or word file.

Abstract *

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Please upload an abstract, the best 5 will be asked to present. Only Pdf or word file.

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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).
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