New Candidate for EBE in ORL-HNS

GENERAL INFORMATION User:* Password:* Surname:* First Name:* Email:* Telephone number:* Home Address:* Home City:* Home Postal code:* Home Country:* Hospital/Work address:* Place:* Country:* Date of birth:*   Country of Citizenship:* Country of Training:* First Language:* Fluency languages:*        ACADEMIC INFORMATION Medical School/University: (name and address)* Date of Graduation:*   Specialisttraining: (name and address of centre/s and senior trainer in charge)* Accreditation in ORL-HNS: (Name, number and date of certificate issued by university medical association or government body)* Present position:* Since:*   Additional information:

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