Drive AMS - Indonesia

Dates: 24-26 October 2024

Here you can apply for the course in Indonesia from 24-26 October 2024.

This masterclass is for teams of at least 2 persons from the same hospital.

Draft-program of the Masterclass can be accessed here.

For more information about the entire program and other courses please visit our program’s webpage.

All participants who succesfully complete the course, will be given a certificate.

Mr./Ms. *

Title

First name *

Last name *

Email address *

Date of birth *

Gender *

Other position:

Institution *

RSUPN Dr. Cipto Mangunkusumo, Jakarta, DKI Jakarta

RS Umum Pusat Prof. dr. I.G.N.G. Ngoerah Denpasar, Bali

RS Umum Pusat Prof. Dr. R. D. Kandou, Manado, Sulawesi Utara

RSUD Ulin Banjarmasin, Kalimantan Selatan

RSUD dr Iskak Tulungagung, Jawa Timur

RSUD Dr. Zainoel Abidin, Kota Banda Aceh, Aceh

RS Siloam Hospital Surabaya, Jawa Timur

RS Eka Hospital Pekanbaru, Riau

Other:

Other institution:

Please upload your CV (max. 2 pages)