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* 1. Personal information about the trainee

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

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

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Please note that your registration will only be completed once you have paid the required amount:
EUCIC trainees have free registration.

ESCMID or SIMPIOS, AMCLI, ANIPIO, SIFO, SItI, FISM, SIM and SIMIT member : 400 Euro plus Tax

No ESCMID or SIMPIOS, AMCLI, ANIPIO, SIFO, SItI, FISM, SIM and SIMIT member: 450 Euro plus tax

Nurses and healthcare professionals student: 300 Euro plus Tax
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

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