Münster Registration link Dynamics of disease transmission: From genomes to infection control 13-14 March of 2023

Question Title

* 1. Personal information about the trainee

ESCMID membership number

Title

First name

Last name

Institute/Company

Department

Address line 1

Address line 2

City

ZIP/Postal code

Country

Email address

Phone number

Nationality

Date of Birth

Gender

Are you a EUCIC trainee Full Programme 2022-2024? Yes?No need to register for advanced modules

Question Title

* 2. Last obtained (relevant) degree (e.g. MSc, BSc, PhD, MD)

Please upload a copy of your diploma

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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Question Title

* 3. Are you already a specialist in CM, ID, IC/HH or Public health

Please upload documentation

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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Please note that your registration will only be completed once you have paid the required amount:
€500 ESCMID members and €550 non members. EUCIC trainees have free registration

Upon pressing the submit button, your registration form will be evaluated for its completeness . After receipt of the registration fee, you will receive a confirmation of payment and registration.

In case you experience any difficulties with this form please contact eucic@escmid.org

Please make a note ,copy or take a picture of the banking information to pay before you submit

Bank details for payments:

Beneficiary: ESCMID
P.O. Box 214
4010 Basel
Number 254374012002
Customer European Society of Clinical Microbiology and Infectious diseases
Type BKB Euro Current Account
IBAN CH48 0077 0254 3740 1200 2
BIC BKBBCHBB
BANK Basler Kantonalbank
Bank clearing number 770

Should you have any questions, please do not hesitate to contact us.
Yours sincerely,
EUCIC Secretariat
ESCMID Executive Office
Gerbergasse 14
4001 Basel
Switzerland
Phone +41 61 508 01 72
www.escmid.org