APPLY FOR ACCREDITATION AS EUROPEAN TRAINING CENTRE ON ANGIOLOGY/VASCULAR MEDICINE

Dr/Prof Full name (required)

Curriculum PDF or Doc (optional)

Telephone (required)

Mobile

Email (required)

Position (required)

Name of Centre (required)

Address (required)

Post/zip Code (required)

Town (required)

Country (required)

Head of Centre, Trainer, Tutor (required)

Does The Centre intend to involve other Collaborating Centers? If YES specify, by entering Head, Centre and E-mail for each