Application for Trainee HSIOIRS member

Name*

Surname*

Address*

Date of birth*

Telephone*

Email*

Institution*

Residency year*

Terms and Conditions*
«I agree that the information I provide through this website is collected and processed by HSIOIRS for communication and information purposes in accordance with the terms and conditions of use. I understand that I have the right to withdraw my consent at any time and that I have the right to access, correct and delete my data».