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Events
Registration: IPPNW European Students' Conference and Western Balkan Meeting in Prishtina
I would like to register for the 27th IPPNW European Students' Conference and Western Balkan Meeting from 25-28 May 2017.
Mr/Mrs
Mr/Mrs
Mr
Mrs
First name*:
Last name*:
Address*:
City & zip code*:
Country*:
Mobile phone*:
Email-Address*:
Faculty of Medicine:
IPPNW Affiliate:
Diet*
Diet*
all
vegetarian
Other dietary specifications (allergies etc):
Conference fee*
Conference fee*
30 € – Category A country
15 € – Category B country
free – Bridges of Understanding or f&e participant
Notes:
Total amount*:
Category A countries:
Austria, Denmark, Finland, France, Germany, Ireland, United, Kingdom, Norway, Sweden, Switzerland –
Category B countries:
Greece, Hungary, Kosova, Italy, Macedonia, Poland, Portugal, Serbia, Spain, Turkey –
Free admission
for participants of Bridges of Understanding 2016 & participants of f&e programme 2017
The fee is to be paid to
IPPNW Germany
bank account:
Reference:
[first name] + [last name] + ESC 2017
IBAN
(International bank account number): DE39100205000002222210
Name of the bank:
Bank fuer Sozialwirtschaft
Address:
Oranienburger Strasse 13, 10178 Berlin, Germany
SWIFT-BIC:
BFSWDE33BER
Visa
Do you need a visa to come to Kosova?
Do you need a visa to come to Kosova?
Yes
No
If yes, please write your passport number in order to write you an invitation for your Visa process:
Passport Number
If you have any questions regarding your registration, please contact
runte[at]ippnw.de
(*= required field)
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