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* 1. Family name (like in your passport)

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* 2. First Name (like in your passport)

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* 3. Middle name

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* 4. Citizenship

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* 5. Country where you work

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* 6. Email address

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* 7. Mobile Number ( It will allow us to create a whatsapp group in the future with the faculty)

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* 8. Name of Your Hospital to put on your badge

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* 9. Other information: Private Address - PO Box - City/Town ZIP/Postal Code Country

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* 10. You can register only to 8 workshops out of the 16

  1st priority 2nd priority 3rd priority 4th priority 5th priority 6th priority 7th priority 8th priority
WS UL 1 - Supra clavicular blocks including superior trunck
WS UL 2 - Infraclavicular including medial approach
WS UL 3 - Axillary Plexus Block
WS UL 4 - Axillary nerve  - Supra scapular nerve Blocks
WS LL 1 - Femoral - & adductor canal blocks
WS LL 2 - Lateral Femoral cutaneous Nerve  - ObturatorNerve blocks
WS LL 3 - Psoas Compartment Block and ESP L3
WS LL 4 - Sciatic Transgluteal  Block  and puddendal block
WS LL 5 - Popliteal sciatic nerve blocks
WS Face - Face blocks
WS SP 1 - Spine neuraxial  (lumbar) caudal
WS SP 2 - Spine thoraco lumbar : the new interfascia blocks
WS T1 - Abdominal blocks (all)
WS T2 - Para vertebral
WS T3 - ESP  T4-T6 /  T9
WS T4 - PECS 1 2 and serratus plane block
WS T5 - Other  abdominal blocks  Genito F II IH and puddendal
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