Please read before registering: Case studies required to be firmly registered for the examination
Registration for the U-TENN examination
(please fill out the fields marked with an asterisk *)		  
First name(s)*
Surname*
Clinic or place of work
Postal code*
City*
Street*
Country*
Telephone
E-Mail*
You want to participate in the U-Tenn exmination
You want to participate in the preparatory course for U-Tenn exmination candidates in Vienna YES
If yes, please indicate number of course participants
    -> double hotel rooms required    Number
    -> single hotel rooms required    Number
    -> date of arrival (dd.mm.yyyy)    Date      
    -> nights you want to stay    Nights  
Shuttle from airport to hotel required

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