SMLC Registration

Personal Details

First name*

Family name*

Email*

Confirm Email*

Institution*

Nationality*

Tax/ID/passport number*

Additional information

Contact Details

Country*

Postal Code*

City*

Address (street name, house number)*

Phone*

Participation category*
SpeakerPoster presenterParticipantOnline participant
Optional social program: Boat trip with dinner*
---YesNo

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

Email

I agree to receiving invoice in electronic form issued by Semmelweis University*
---YesNo
Privacy settingsI hereby consent to the publication of the photo and
video material made during the event. *
---YesNo
My name and contact information may be shared with the registered event participants *
---YesNo

Accept Terms and Conditions