Application Form ISBT Highlight Days

First Name ^* (required)

Last name ^* (required)

Name of Institute (organisation/hospital) ^* (required)

Your email address ^* (required)

Name of the event ^* (required)

Please copy here the URL of the event homepage (if there is one)

Suggested Date of the ISBT Highlight Days ^* (required)

Estimated number of attendees ^* (required)

Who are the expected delegates? e.g. scientist, nurses, transfusion specialist, surgeons etc ^* (required)

Hosting city and country ^* (required)

WHO region of the event ^* (required)

Africa

Eastern Mediterranean

Europe

North America

South America

South East Asia

West Pacific

Refer to the ISBT congress programmes of the last 3 years and create a list of 2-3 topics that you would like to feature in the ISBT Highlight Day ^* (required)

What are the educational objectives of your programme? ^* (required)

Briefly explain why your institute wants to host the ISBT Highlight Day: ^* (required)

Application Form ISBT Highlight Days

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