Registration

Personal Details

First name*

Family name*

Email*

Nationality*

ID/Passport number*

Tax number*

Name of your University/Clinic/Institution*

Which course are you applying for?*

Additional information

Contact Details

Country*

Postal Code*

City*

Address (street name, house number)*

Phone*

Invoicing Details

To be filled in only if different from the details above.

Name

Tax number/BIC code/SWIFT code

Country

Postal code

City

Address (street name, house number)

Phone

I agree to receiving invoice in electronic form issued by Semmelweis University*

Privacy settings

I hereby consent to the publication of the photo and
video material made during the event. *

My name and contact information may be shared with the registered course participants *