Application form

Dates and time:

23-26 September 2026
Start of course 13:00 23rd
End of course 16:00 26th

Location:
Karolinska University Hospital
Solna Stockholm, Sweden

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1. First name (Required.)

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2. Last name (Required.)

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3. E-mail: (Required.)

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4. Physical adress (Required.)

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5. Mobile number (Required.)

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6. Nationality (Required.)

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7. Country of residence (Required.)

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8. Institution / Hospital / Company / Organization (Required.)

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9. Present profession and speciality / field of work (Required.)

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10. Years in specialty/profession (Required.)

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11. I prefer to instruct the following position (indicate by moving by grading your choices): (Required.)

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12. Previous MRMI course year and location (Required.)

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13. ESTES member (Required.)

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14. Preferred method of payment (Required.)

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15. Billing adress for invoice including physical adress and reference (Required.)

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16. Do you have any food preferences or allergies? (Required.)

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