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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

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* 2. Last name

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* 3. E-mail:

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* 4. Physical adress

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* 5. Mobile number

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* 6. Nationality

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* 7. Country of residence

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* 8. Institution / Hospital / Company / Organization

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* 9. Present profession and speciality / field of work

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* 10. Years in specialty/profession?

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* 11. I prefer to train in the following position (indicate by moving preferred choices to top):

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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)

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* 14. ESTES member

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* 15. Preferred method of payment

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* 16. Billing adress for invoice including Physical Adress and Reference

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* 17. Do you have any food preferences or allergies?

0 of 17 answered
 

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