Register Online 2022-05-23T20:46:21+00:00

FACE-TO-FACE REGISTRATION

Fill in this form for face-to-face participation in our workshop. All fields are required.

    First Name

    Last Name

    Email

    Phone

    Institution

    Position/role

    If other, please specify

    Average number of HIV patients treated per month, if applicable

    Address

    City

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    Country

    Passport/ID

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