Postgraduate Courses Application Form - Hospital de Braga, Portugal

ISUCRS POSTGRADUATE FELLOWSHIP

IN COLORECTAL SURGERY

Hospital de Braga

Portugal

Application Form

PERSONAL DETAIL

ADDRESS

E-MAIL

TELEPHONE NUMBER WITH AREA CODE

CURRENT ISUCRS MEMBERSHIP STATUS

Fellows

Candidate Members (Surgical Resident or fellow )

Application for membership to ISUCRS submitted

Not an ISUCRS fellow or candidate member

WHAT FELLOWSHIP OR POSTGRADUATE COURSE ARE YOU APPLYING FOR?

2000 EURO FEE - 4-week Post-Graduate Course In Colorectal Surgery. The Colorectal Unity of Hospital de Braga, Braga, Portugal

LOW/LOWER MIDDLE INCOME COUNTRIES (FREE) LOW-4-week Post-Graduate Course In Colorectal Surgery. The Colorectal Unity of Hospital de Braga, Braga, Portugal - Sponsored by David

WHICH MONTHS WILL YOU LIKE TO APPLY FOR YOUR FELLOWSHIP?

November 2023

January 2024

February 2024

March 2024

April 2024

May 2024

Other

IF 'OTHER' PLEASE STATE

UPLOAD CURRENT CURRICULUM VITAE (CV)

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APPLICATION RULES

1. The application fee must be paid prior to the commencement of the four-week postgraduate fellowship.

2. In order to obtain your fellowship certification from ISUCRS, you must have successfully completed the entire programme at a standard acceptable to the program director.

I have read, understood, and accept the rules for applying and participating in the ISUCRS fellowship or postgraduate course

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