Group Working Group

ERN group - Registration form

Please fill in the Application Form in all its parts - you must fill in the mandatory fields (*), before you can proceed with the submission of your Application.

*Title
*First Name
*Family (Last) Name
*Sex
Date of Birth
*Address
*ZIP
*City
State
*Country
*Email
*Confirm email
I am a
Medical Specialty:
identify the area that best describes your work

(KOSOVO*) This designation is without prejudice to positions on status, and is in line with UNSCR 1244/99 and the ICJ Opinion on the Kosovo declaration of independence.
The ERA-EDTA collects and processes personal information to provide you with details regarding the Association and its activities. The information is used for accounting and commercial purposes by ERA-EDTA and/or Euromeetings s.r.l. in compliance with the EU General Data Protection Regulation (2016/679).
By submitting your information you agree to be inserted in the Directory of ERA-EDTA Working Groups' ordinary members and your name, city, country and e-mail will be viewed by other ERA-EDTA Working Groups ordinary members.
Terms and Conditions
Cookie Policy
Privacy Policy

I read the privacy briefing and I accept these conditions. I also understand that my name, city, country and e-mail will be viewed by other ERA-EDTA Working Groups ordinary members.