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Profile
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Profile
Personal data
-
Mr.
Ms.
Mrs.
Prof.
Dr.
Title
*
First Name
*
Family Name
*
Date of Birth
*
Place of Birth
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
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Barbados
Belarus
Belgium
Belize
Benin
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Bolivia, Plurinational State of
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Bulgaria
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Canada
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Chile
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Denmark
Djibouti
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French Guiana
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
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Grenada
Guadelupe
Guam
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Guernsey
Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
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Hong Kong
Hungary
Iceland
India
Indonesia
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Iraq
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Isle of Man
Israel
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Jamaica
Japan
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Jordan
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Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
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Mali
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Morocco
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Nauru
Nepal
Netherlands
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Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia, Republic of
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da C
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
San Marino
Sao Tome and Principe
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Senegal
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Seychelles
Sierra Leone
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Somalia
South Africa
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Spain
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Sudan
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Sweden
Switzerland
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Taiwan
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Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Turks and Caicos Islands
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Uganda
Ukraine
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United Kingdom
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela, Bolivarian Republic of
Viet nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
*
Address
*
City
*
Postal code
*
State/County
Mobile Phone
*
Contact e-mail
*
Confirm your contact e-mail
*
Professional data
Institute
*
Department
*
Registration
REGISTRATION FEES
Participant over 35 –NIBIT member* and AIOM member*
€ 200,00 IVA inclusa
Participant under 35 – NIBIT member* and AIOM member*
€ 100,00 IVA inclusa
Post Doc – NIBIT member* and AIOM member*
€ 100,00 IVA inclusa
PhD Student – NIIBIT member* and AIOM member*
€ 100,00 IVA inclusa
Resident – NIBIT member* and AIOM member*
€ 100,00 IVA inclusa
Participant – Non member**
€ 300,00 IVA inclusa
Undergraduate student
Free of charge
*
NIBIT member with settled payment of membership fee for 2023 and 2024
*
AIOM member with settled payment of membership fee for 2024
**
Membership fee for 2024 is € 50; to become a member please fill in the form on
www.nibit.org/iscrizioni_nibit.php
-
Participant over 35 € 200.00
Participant under 35 € 100.00
Post doc € 100.00
PhD student € 100.00
Resident € 100.00
Undergraduate student
Participant - Non member** € 300.00
Registration type
*
SOCIAL DINNER 18 October 2024 20:00
SOCIAL DINNER
€ 50.00
€
50.00
x
=
€
0
-
01
02
03
04
05
06
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09
10
Dati ai fini ECM
-
Si
No
ECM
*
Fiscal Code (Only for Italians)
*
Medico chirurgo
Biologo
Tecnico sanitario laboratorio biomedico
Categoria professionale
*
Allergologia ed immunologia clinica
Anatomia patologica
Anatomia patologica
Biochimica clinica
Biochimica clinica
Biologo
Chirurgia generale
Dermatologia e venereologia
Ematologia
Oncologia
Tecnico sanitario laboratorio biomedico
Disciplina
*
Altra professione/disciplina non ECM
*
-
Convenzionato
Dipendente
Libero Professionista
Privo di occupazione
Inquadramento professionale
*
Privacy policy
In accordance with General Data Protection Regulation UE 2016/679 we declare that the holder of data processing is Achelois Srl. Please take more information about personal data processing by accessing the site
www.achelois.eu
AUTHORIZATION TO DATA MANAGEMENT FOR THE EVENT
I authorize Achelois srl to handle my personal data for purposes strictly connected to the present and future registrations. Achelois srl declares that this data will not be divulged or delivered to third parties, that are not strictly involved in the event management. IMPORTANT: by denying this authorization, registration to the event will not be allowed.
AUTHORIZATION TO DATA MANAGEMENT FOR THE EVENT
*
AUTHORIZATION TO DATA MANAGEMENT FOR OTHER PURPOSES
I authorize Achelois srl to handle my personal data for marketing purposes (events announcements, newsletters and information on other events organized by Achelois srl and/or other Event Providers). Achelois srl declares that this data will be not be given to other subjects, that are not strictly involved in the Event organization.
AUTHORIZATION TO DATA MANAGEMENT FOR OTHER PURPOSES
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