Application form

Dates and time:

24-26th March 2026
Start of course 10:00 24th
End of course 15:00 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 train in the following position (indicate by moving preferred choices to top): (Required.)

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12. Attended previous national MRMI, (yes/no and year)

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13. Attended previous international MRMI course (yes/no, year) (Required.)

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14. ESTES member (Required.)

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15. Preferred method of payment (Required.)

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16. Billing adress for invoice including Physical Adress and Reference (Required.)

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

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