Online registration

Name*

Titles in front of the name

First name

Family name

Titles behind the name

Gender*

Date of birth*

Permanent address

Street*

Street number*

ZIP Code*

City*

Country*

Place of employment

Company/Institution*

Department

Company/Institution address – street*

Street number*

ZIP Code*

City*

Country*

Email*

Confirm email*

Telephone (mobile)

Please insert number in internatonal format +42X XXX XXX XXX

Participation

Participation*

Active participation

The presentation must be submitted by 31 March 2021. The Abstract should by typed: Font: Arial, 10 point type

Form of presentation*

Name of the lecture*

Authors – Original work can submit up to 8 authors. Please, fill in names, titles and place of work of each author.*

Authors – Video-clip can submit up to 8 authors. Please, fill in names, titles and place of work of each author.*

Authors – Case report can submit up to 8 authors. Please, fill in names, titles and place of work of each author.*

Structured abstract (maximum of 2000 characters)*

Structured abstract (maximum of 2000 characters) Title, Introduction, Materials and Methods, Results, Conclusion, Keywords

Abstract (maximum of 1500 characters)*

Abstract (maximum of 1500 characters), Keywords

Video clips will be accepted only in HD quality, MP4 or AVI format, data rate 8-15 Mbps, 25p or 50i (upper field first). Please, send the video clips only after you submit your online registration. Use https://wetransfer.com/ and send the presentation to: congress@videoonkochirurgia.sk

Registration fees

Registration fee *

Accommodation

Please choose the day of accommodation

May 4th, 2022 – May 5th, 2022

May 5th, 2022 – May 6th, 2022

Roommate - Please write name of your roommate if you choose double room

Meal

Lunch, October 8th - 29,- €

Dinner, October 8th - 30,- €

Lunch, October 9th - 29,- €

Meal

Lunch, October 8th - 29,- €

Gala evening, October 8th - 25,- €

Lunch, October 9th - 29,- €

INVOICE TO

Private person

Company

Company name*

Street*

ZIP Code*

Street number*

City*

Country*

Identification number*

Tax number*

VAT registration*

Yes

VAT Number*

Food

I wish to receive information about the next Videoonkochirurgia symposium to my email address.

Privacy policy

I agree with the Privacy policy

By submitting the application I agree with the use of the above data for the purposes of processing and registration for PROGRESS CA,s.r.o., in accordance with Act no. 18/2018 Z.z. on Personal Data Protection and on Amendments and Supplements to Certain Acts, as amended, and I honestly declare that these personal data are true and up-to-date. More on personal data processing here

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Registration

Permanent address

Place of employment

Participation

Active participation

Registration fees

INVOICE TO

Food

Newsletter

Privacy policy