Registration – SYMPOSIUM ON PORTAL HYPERTENSION

First Name *

Last Name *

Email *

Username *

Chamber ID (for members of the Slovak Medical Chamber only) *

Date of birth *//

Classification

Workplace *

Workplace full adress *

Acceptance

I declare that I have read and agree to the personal data processing conditions.
I declare that I am a health worker pursuant to the Section 27 of Act 578/2004 Coll.
I have read and agree to the general terms and conditions of services provided on the portal operated by TAJPAN s.r.o. and I declare that I am over 16 years old.

Organization support