IFMBE Conference Application Form

Fields marked with an * are required

IFMBE involvement (select the appropriate request) *

sponsored conference World Congress (please visit https://iupesm.org/world-congresses/ )
co-sponsored conference
cooperation
endorsement

IFMBE National Member Organisation (NMO) participating in organization

IFMBE Transnational Member Organisation (TMO) participating in organization

Name of the conference

Abbreviation of the name of the conference

Conference opening date

Conference closing date

Venue City

Country

Conference’s website

Contact person name

Contact person email

Contact person phone

Contact person adress

Contact person fax

Special interests of the conference

Expected number of participants

Name

Last Name

Affiliation

Country

Email *

Date

Support letter

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