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MEMBERSHIP APPLICATION

Personal data




Hospital address


Contact details


Current hospital appointment:



Education


For residents only


Current Endoscopic Experience

Procedures

I authorise the European Association for Endoscopic Surgery to obtain information from any source regarding this application and my qualifications for membership.

I hereby certify that the above information is correct and is given in good faith.

I declare that I have read and agree to the EAES GDPR Policy