Česká neuropsychofarmakologická společnost

ONLINE REGISTRATION FORM

ECNP SEMINAR

22.4.2010 - 24.4.2010  

1/2

Title:

First name:

Last name:

Organisation/Institution:

Address:

City:

Postal code:

Country:

E-mail:

Phone:

Organisation/Institution:

Address:

City:

Postal code:

Country:

ONLINE REGISTRATION FORM

ECNP SEMINAR

2/2

I request to arrange the accomodation in hotel Trest
Period:

Notes:

Attachement 1:
a short CV (describing his background and activity so far). Must be PDF type.

Attachement 2:
a short paper (50 – 100 words). This might include a research project which you had completed, or is currently involved in, or that you would like to do in the future. Another possibility is to include a vignette of a patient which presents either a diagnostic and/or a treatment dilemma.
Must be PDF type.

22.4.2010 - 24.4.2010  

ONLINE REGISTRATION FORM

ECNP SEMINAR

22.4.2010 - 24.4.2010  

Thank you for your registration.

ONLINE REGISTRATION FORM

ECNP SEMINAR

22.4.2010 - 24.4.2010