*Name (required) *Email address (required) Phone number* Address* Date of birth*(required) *Language Programme (required) ---EnglishGerman/Deutsch *Faculty (required) ---Faculty of MedicineFaculty of Health SciencesFaculty of DentistryFaculty of PharmacyFaculty of Health and Public ServicesAndrás Pető Faculty Specialty* *Date of graduation (required) Current workplace Former workplace (in case of retirement) Which days will you attend? (required) FridaySaturdaySunday I would participate in the following programs:(required) Get Together Event (Friday 6:00pm-11:00pm)Wine tasting (Friday 8:00pm-9:00pm)Professional development workshop (Saturday 9:00am-3:30pm)Guided tour at Basic Medical Science Center (Saturday 3:30pm-4:30pm)Guided tour at Dental Center (Saturday 4:00pm-5:00pm)Guided tour at Anatomy Institute (Saturday 4:00pm-5:00pm)Guided tour at Central Building (Saturday 4:30pm-5:30pm)Guided tour at Faculty of Health Sciences (Saturday 4:30pm-5:30pm)Guided tour at Pető Institute (Saturday 4:00pm-5:00pm)Guided tour at Department of Surgery, Transplantation and Gastroenterology (Da Vinci robot) (Saturday 4:30pm-5:30pm)Guided tour at Outer Clinical Block (Saturday 4:30pm-5:30pm)Guided tour at Városmajor Clinical Centre (Saturday 4:30pm-5:30pm)Gala dinner and afterparty (Saturday 7:00pm-12:00pm)Visitation of Buda Castle and Hospital in the Rock (Sunday 9:30am-1:00pm)Danube Lunch Cruise (Sunday 1:00pm-4:00pm) Message By sending this registration form, I agree with the terms & conditions and privacy policy.