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
*Gender
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.
ERA takes your privacy very seriously and we confirm that all data processing is done in compliance with the EU General Data Protection Regulation (2016/679) and the relevant/eventual up-dates as well as of the laws of Italy on this same topic. By submitting the data requested above you automatically accept ERA’s Privacy Policy and Terms and Conditions.
By submitting the data requested above you automatically accept ERA’s Privacy Policy and Terms and Conditions and you agree to be included in the Directory of ERA Working Groups' ordinary members and your name, city, country and e-mail will be viewed by other ERA Working Groups ordinary members.
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 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.