Registration – Dutch Ophthalmology PhD Students

Registration
Program
Our team
Previous editions

Registration form

We would like to invite you to register your attendance below. The registration deadline is 17-01-2021.
The DOPS team will decide if your abstract will be selected for an abstract presentation or poster pitch.

Registration - DOPS 2021

First name *

Last name *

Title *BScMScMDPhDOther

Email Address *

Phone *

Position *Select position

Please specify *

Research topic

BIG registration *I haveI don't have

BIG registration *

Institute *

Conference attendance *Friday daytimeFriday eveningSaturday morning

Dinner preference *FishMeatVegetarian

Dietary restrictions/Food allergies *YesNo

Please specify *

Do you need accommodation *YesNo

Hotel room *

Roommate *I don't mind being assigned a roommatePreferred roommate

Name of preferred roommate *

Institute of roommate *

Enter the affliated institute of your preferred roommate

Abstract *Yes, I will upload my abstract right now.Yes, but I will submit my abstract later.No

Upload abstract (.doc,.docx) *

No file chosen

Abstract instructions

Please send your abstract by email to contact@dopsvision.com before 17-01-2021 23:59 hrs.

Instructions

Please submit this form and continue to step 2.
Your registration is only complete when you have completed the registration form AND the payment of the registration fee.