Registration in the Nursing School of Coimbra

This is a general registration in the Nursing School of Coimbra. Thus, all data provided here are personal data that will only be used in certificates of training activities and future contacts.
Title
Full name*
 
Note: Please enter your full name since it will appear on your certificates. Please do not exceed 45 characters.
Name tag*
 
Note: This is the name that will be printed on your conference badge. Limit: 20 characters.
Country*
Identification number (ID or Passport)
Number * 
Expiry Date *  (aaaa-mm-dd)
Tax number
Nationality*
Place of birth*
Address*
City*
Zip Code*
 - 
Email*
Phone
Gender*
Male Female
Birth date*
- -

Degree
Graduate
Master
Specialist
PhD
Other  

Professional Activity
Student
Nurse
Teacher
Other  

Institution
Department
Position

This is a general registration in the Nursing School of Coimbra. Thus, all data given here are personal data that will only be used in certificates of training activities and future contacts related to scientific events.
You will be the only one with access to your Password and you must use it in registrations, abstract submission and payments. Please try not to forget it. You can change it whenever you want.
Password*
Password confirmation*

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