ESOR 2024 registration form

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Registration fees for ESOR VPP:

I wish to register for the ESOR Visiting Professorship Programme as: (Please choose one) Non-members of URS / ESRMembers of URS / ESRResident

ID European Society of Radiology

Salutation

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Academic title

First name (*)

Last name (*)

Date of birth (in format dd.MM.yyyy)

City (*)

Country

Hospital

Department

Address of Hospital

Email (*)