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Account Information

First Name

Last Name
*Email Address

*Account Type
Ambassador Code

If you have a code from one of our ambassadors, please type it in the Ambassador Code field.

*EMC/EFC Type

Additional Information

ACTIVE PARTICIPANT = Can publish papers as author/coauthor, attend lectures and Workshops and attend the social programs
PASSIVE PARTICIPANT = Can attend lectures and workshops and attend the social programs
COAUTHOR = Can get his paper published at Coauthor
EMC/EFC Point Registration = Can publish papers as author/coauthor, attend lectures and Workshops, attend the social programs and get EMC/EFC Points

Login Information

*Password

*Confirm Password

Participant Information

*Gender

*Phone(e.g: 0740111222)
*University

*Other university
*Speciality

Chirurgie Generala / Oftalmologie / Medicina Familie / etc

*Employer

Spital angajator/Cabinet individual – Denumirea completa
*Speciality
*City

*Country
*ID Number (serie si numar buletin)

*CUIM Code

From Colegiul Medicilor.
Required Visa

*Country of Origin

Conference Options

Extra diploma No Yes
Observations

Payment Information

Given the selected option, the participation tax is :
Please choose the type of payment:
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Bank Transfer

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By using this registration and clicking SUBMIT you agree with the storage and handling of your data by this website.

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