CoBrCa 2024

Attendee Details

Welcome to the registration form for CoBrCa 2024.
Please complete the details below in English letters only and click next to continue.

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Title *

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First Name *

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Last Name *

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Country *

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City *

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Organization/Affiliation *

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Job Description *

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Affiliated Society Name * Non-members can write N/A

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Academic Degree *

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I agree that my NAME, COMPANY/AFFILIATION, COUNTRY and EMAIL ADDRESS be shared with congress supporters *

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Contact Details

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Delegate's Personal Email *

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Additional Email for Correspondence (Travel Agent, PA) * Please DO NOT repeat the same email

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Mobile Phone *

Other Details

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How did you learn about this Congress? *

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What is your main specialty? (mark all relevant) *

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Medical oncologist
Radiation oncologist
Surgeon
Pathologist
Radiologist
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Other *

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Dietary restrictions *

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I require an invitation letter for visa application

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Congress Secretariat: cobrcareg@congressmed.com