Registration form
Personal data
Hospital / organisation details
Only fill out below invoice address when different than above Hospital/Institution address
Required documents to upload
Please note: if you have more than 1 document, save them as 1 complete file for upload (only submit .pdf, .jpg, Word, jpeg, .tiff, .png files). Maximum is 10mb upload
Payment, cancellation and refund
Any application may only be considered for eligibility after receiving a non-refundable eligibility fee of €200. Eligible candidates will also be requested to cover Examination fee of €1000. Notification of cancellation must be sent by e-mail to the Exam Secretariat. Cancellation with refund of the Examination fee of Euro 1000 will be accepted until 31st May 2022. No refund will be made for cancellations after 31st May 2022.
After you have submitted your registration, please e-mail any changes or additions to Muriel.Breemans@eaes.eu.
DO NOT REGISTER AGAIN