MIRAM

Medical Imaging and Radiotherapy Aveiro’s Meeting

Conference
Submissions
Registration
Events
- Final Programme
- Workshops
Info
PT

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Meeting Registration

Submitted by miramadmin on Tue, 08/01/2017 - 13:28

Language English

Name *

e-mail *

Professional area

Medical Imaging and Radiotherapy

Radiology

Radiotherapy

Nuclear Medicine

Medical Physics

Education

Information Technologies

Student

Other

Affiliation *

Payment

Payment should be done to the following CGQ IBAN: PT50 0035 0836 0000248 8330 35 or BIC SWIFT: CGDIPTPL with the description: your first & last name + MIRAM 2019 (example: Antonio_Santos_MIRAM2019) Attention: any fee associated with paying the registration is the responsibility of the participant

Payment receipt *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png tif pdf.

NIF *

Name *

Address *

Status Confirmation: Student/ Imaging Department Coordinator / Supervisor / Tutor *

Warning: Incorrect data may compromise the billing process
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png tif pdf doc docx.

Do you authorize your data to be used for the dissemination of activities related to MIRAM, as well as other initiatives of a formative nature that may be developed by the School of Health of the University of Aveiro (ESSUA)? * *

Yes

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Meeting Registration