COMMUNICATION DETAILS E-mail address: Telephone number: (Country code/number) Mobile number: (Country code/number) PERMANENT ADDRESS Street: City: Postal Code: Country: INSTITUTION Institution to which you belong: Street: City: Postal Code: Country: Type of organisation: Your institution is What is the main field of activity of your institution? EDUCATION Do you have a medical degree? If yes, year obtained: Name of University: Country: Do you have other degrees? If yes, please list: Will you require Russian translation of video lectures?
COMMUNICATION DETAILS E-mail address: Telephone number: (Country code/number) Mobile number: (Country code/number) PERMANENT ADDRESS Street: City: Postal Code: Country: INSTITUTION Institution to which you belong: Street: City: Postal Code: Country: Type of organisation: Your institution is What is the main field of activity of your institution? EDUCATION Do you have a medical degree? If yes, year obtained: Name of University: Country: Do you have other degrees? If yes, please list: Will you require Russian translation of video lectures?