Definitive Surgical and Anaesthetic Trauma Care Course

Definitive Surgical and Anaesthetic Trauma Care Course 2022

I would like to register for course A on 8 & 9 November 2022 as:

Surgeon (DSTC) - €2225,00 (32/32)

[Unfortunately this course is full, please register for the other course or the waitlist]

Surgeon (DSTC) - I already paid for previous course

[Unfortunately this course is full, please register for the other course or the waitlist]

I would like to register for course B on 10 & 11 November 2022 as:

Surgeon (DSTC) - €2225,- (30/33)

Surgeon (DSTC) - I already paid for previous course

[Unfortunately this course is full, please register for the other course or the waitlist]

Waitlist: if you are not able to register for the course, please register for the waitlist:

If other, please fill here:

Position

Resident

Medical specialist

Other/ not applicable

Medical specialism *

Traumatology/surgery

Orthopedics

Other/ not applicable

Experience in trauma cases *

Less than 10 cases

Between 10-30 cases

More than 30 cases

Other/ not applicable

Dhr/Mw *

Titel

Voornaam *

Achternaam *

Land *

Postcode *

Huisnummer *

Straat *

Plaats *

Date of birth: *

E-mailadres *

Function

Organisation

Z-number (only for Radboudumc employees)

BIG nr. (in case you do not have a BIG nr please fill in zero) *

Food Allergy or Dietary Wishes

I agree with the general terms and conditions *

Totaal: € 0,00

Registration Form