Medicine-related Research Workshop Registration

The registration deadline is on May 4th. There is no participation fee.

Last Name*
First Name*
Title
Your Email Address*
Affiliation (short for Badge)*
Affiliation (full name) / Institute*
City*
ZIP*
Street, No*
Country*
I would like to present a poster
Preliminary title of the poster:
I agree that my name and email address will be published in the abstract book.
Are you vegetarian? yes no
Do you suffer from any food intolerance or allergy? If yes, please, specify
Remarks
Please, type in "MedRes" to show that you are not a Bot. Thank you!*
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