CESMA Meeting Delegates Registration Form

 
06 – 07 May 2016
Novotel Bucharest City Centre
 
Please add registration@ralcom.ro to your contact list to facilitate the communication regarding your registration.
Thank you for providing your detailed coordinates, enhancing future communication related to the CESMA Meeting.
  • Step 1
    Delegate Information
  • Step 2
    Social Events
  • Step 3
    ACCOMMODATION
  • Step 4
    Liability & Data protection
  • Step 5
    Preview / Submit
 
Delegate Information
The sections marked with * are mandatory
Title 1 (*)


Please tick the appropriate option.
Title 2



Please tick the appropriate option.
First Name (*)
(Please indicate full name, not just initials)
Last Name (*)
(Please indicate full name, not just initials)
Institution (*)
Department / Section (*)

Contact Details 
Office Phone No.
Please use “00” to indicate the country code. Please do not use commas, dots or blank spaces between figures.
Mobile No.
Please use “00” to indicate the country code. Please do not use commas, dots or blank spaces between figures.
E-mail (*)
ATTENTION! On this address, you will receive further notifications regarding your registration.

ACCOMPANYING PERSON 

If you are traveling accompanied, please provide the details of the person you are travelling with.
Title 1


Please tick the appropriate option.
First Name
Last Name

CESMA EVENTS 

Please provide information on which events you will attend during your stay in Bucharest by ticking the appropriate answer for each event.
Meeting with Ministry of Health, Friday 6th May - hour to be announced (*)

CESMA Business Meeting, Saturday 7th May, 09.00 - 16.00 (*)