Title

Name Surname
 

Nationality

University

Department/Clinic

Street

City

Country

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Email: *  

Message: *

Deadline for registration is May 01, 2023.

Register by Direct Bank Transfer:
Bank Name: Türkiye İş Bankası
Name: Mehmet Macit İlkit
IBAN Number (Euro): TR40 0006 4000 0026 0100 2064 41
Swift/BIC Code: ISBKTRISXXX

Please register me for the Working Group Meeting:
ISHAM-Member: 50 Euro
Young-ISHAM Member: 20 Euro
Non-member: 60 Euro


Attention
To complete your registration, please fulfill the registration form with your personal details and send it to macitilkit@gmail.com. Please also attach the payment receipt of your deposit.