Personal Data
Title
*
Dr.
Dr.ª
Enf.
Enf.ª
Engª.
Engº.
Farmacêutico(a)
Prof. Doutor
Prof.ª Doutora
Sr./Sr.ª
Please select a title
Name
*
Please fill in the name
Please fill more than one name
Badge Name
*
Please fill in the badge name
E-mail
*
Please fill in a valid e-mail
Please fill in the e-mail
Telephone Number
*
Please fill in the telephone number
Professional Category
*
Area Sales Manager
Clinical Application Specialist
Clinical Sales Associate
Clinical Sales Manager
Diretor
Enfermeira
Enfermeiro
Estudante
Farmacêutico
Gestor Seguros
Interno de Ano Comum
Investigador
Médico Especialista
Médico Interno
Pierre Fabre
Técnico
Ultrasound Business Unit Manager
Ultrasound Sales Specialist
Other
Please fill in the professional category
Specialty
*
Administrador Hospitalar
Advogada
Anatomia Patológica
Anestesiologia
Angiologia e Cirurgia Vascular
Assistente Social
Bloco Operatório
Cardiologia
Cardiologia de Intervenção
Cardiologia Pediátrica
Cirurgia Cardíaca
Cirurgia Cardiotorácica
Cirurgia Geral
Cirurgia Maxilo-Facial
Cirurgia Pediátrica
Cirurgia Plástica Reco. e Est.
Cirurgia Toracica
Clínica Geral
Cuidados Intensivos Pediátricos
Dermatopatologia
Dermato-Venereologia
Diretor
Doenças Infecciosas
EEG/Neurofisiologia
Electrofisiologia Cardiaca
Endocrinologia
Enfermagem
Estomatologia
Estudante
Exercício Físico
Farmacologia Clínica
Gastrenterologia
Gastrenterologia Pediátrica
Genética Médica
Ginecologia
Ginecologia Oncológica
Ginecologia/Obstetrícia
Hematologia Clínica
Hemato-Oncologia
Hepatologia
Hotelaria Hospitalar
Imunoalergologia
Imunohemoterapia
Medicina da Reprodução
Medicina Dentária
Medicina Desportiva
Medicina do Trabalho
Medicina Física e de Reabilitação
Medicina Geral e Familiar
Medicina Intensiva
Medicina Interna
Medicina Legal
Medicina Materno-Fetal
Medicina Nuclear
Medicina Tropical
N/A
Nefrologia
Nefrologia Pediátrica
Neonatologia
Neurocirurgia
Neurologia
Neuropatologia
Neuropediatria
Neurorradiologia
Nutrição
Oftalmologia
Oncologia Médica
Oncologia Pediátrica
Ortodoncia
Ortopedia
Ortopedia Infantil
Otorrinolaringologia
Patologia Clínica
Pediatria
Pneumologia
Psicologia
Psiquiatria
Psiquiatria da Infância e da Adolescência
Psiquiatria Forense
Radiologia
Radioncologia
Radioterapia
Reumatologia
Saúde Pública
Seguros
STAFF
Urologia
Other
Please fill in the specialty
Workplace
*
Please fill in the workplace
ID number
*
Please fill in the professional number
Internal Observations
Please fill in the observations
* Mandatory Fields
Billing Information
Name
*
Please fill in the name (billing information)
VAT
*
Please fill in the VAT (billing information)
E-mail
*
Please fill in a valid e-mail (billing information)
Please fill in the e-mail (billing information)
Address
*
Please fill in the address (billing information)
Postal Code
*
Please fill in the postal code (billing information)
City
*
Please fill in the city (billing information)
Country
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo-Brazzaville
Congo-Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Territory of Heard Island and McDonald Islands
Thailand
The Netherlands
Togo
Tokelau Islands
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States of America
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Please fill in the country (billing information)
* Mandatory Fields
Registration Details
Until 16 June, 2025
Until 3 July, 2025
After 3 July, 2025
Sócios Especialistas
150,00 €
250,00 €
250,00 €
Sócios Internos
100,00 €
200,00 €
200,00 €
Não Sócios Especialistas
300,00 €
400,00 €
400,00 €
Não Sócios Internos
200,00 €
300,00 €
300,00 €
Enfermagem
150,00 €
250,00 €
250,00 €
Bolsa de Inscrição para Internos
0,00 €
0,00 €
0,00 €
Bolsa de Inscrição para Enfermagem
0,00 €
0,00 €
0,00 €
Registration Type
Sócios Especialistas
Sócios Internos
Não Sócios Especialistas
Não Sócios Internos
Enfermagem
Bolsa de Inscrição para Internos
Bolsa de Inscrição para Enfermagem
Payment Details
Amount to Pay:
250,00 €
Payment Method:
EuPago Reference
* I accept that my personal data is saved and processed for any purpose related to the event 'I Portuguese Conference on Robotic Surgery'. The data in question will be kept until otherwise indicated in writing to privacidade@eventbase.pt by the titleholder.
See the Privacy Policy
here
.