National Society Declaration of Intent Form

Please fill in carefully the billing details that will be used on the invoice:

Name of National Society

VAT Number

Address

City

Country

ZIP Code

NOTES:

We will require the names and e-mail addresses of the participating residents sponsored by your national society as soon as possible (deadline 1 April 2025).
Click here to download the list that needs to be filled in and sent to registrations@esim2025.com
We aim to accept up to 50 residents at the Summer School from EFIM member countries. The residents should be at the end of their training in Internal Medicine and have a good understanding of the English language.

National Society Sponsorship usually includes the Registration Fee 1.250€ (including VAT ). The registration fee covers the cost of accommodation in a share bed room & food for a 6 nights stay (in Sunday, 1st June – Out Saturday 7th June ) attendance at the 1 week ESIM course with all educational material, social activities. Applicants are responsible for making their own travel booking, for checking their passport validity, obtaining a visa (if applicable), and arranging Travel insurance.

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National Society Declaration of Intent Form

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