HIV Drug Therapy Glasgow 2024 - application onsite participation

Deadline for applications: August 30, 2024

Name & First name (as in passport/ID) *

Institution

City

ZIP/Postal Code

Email Address

Phone Number *

Workplace *

Position

Number of HIV patients treated

Number of infectious diseases patients treated

Preferred date of travel, departure & return

Preferred departure airport / railway station

Invoice address

Hospital, treating patients

Researcher

Teaching position

SSI member

ESCMID member

If you are a researcher - what is your contribution to the field?

Yes

Comment

I understand that my entire conference package will be organised by a travel agency. SAFE-ID cannot reimburse pre-organised arrangements.

Programme supported by ViiV Healthcare through SAFE-ID