UMEMPS Romania 2022 -

UMEMPS Romania 2022
Registration form

Title

Position/Title

Family name

First name

CUIM (Only for participants from Romania)

This is the Unique Identification Number from Romanian College of Physicians certificate.

Your email address, must be unique in our database. This email will be used to receive information and confirmation about the event you attend.

Main Workplace/Organization

Current job.

Country

City

Work phone (office hours)

Country code (city code) number (Ex. +40 021 0000000)

Area of Expertise

choose one

Dietary option

choose one

Select registration fee

Invoice details

Select the type of invoice

Company name/Person name for the invoice

The name that will be shown on the invoice.

Fiscal identification code

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