IAS 2019 - application Deadline for applications: May 17, 2019 Question Title * 1. Contact information Name & First name (as in passport/ID) * Institution City ZIP/Postal Code Email Address Phone Number * Question Title * 2. Professional information Workplace * Position Number of HIV patients treated Number of infectious diseases patients treated Question Title * 3. Additional comments Question Title * 4. Additional information Hospital, treating patients Researcher Teaching position SSI member If you are a researcher - what is your contribution to the field? Question Title * 5. I have an accepted abstract Yes No Comment Question Title * 6. Conditions for applicants I understand that my conference package will be organised by a travel agency. SAFE-ID cannot reimburse pre-organised arrangements. Programme supported by ViiV Healthcare through SAFE-ID Done