Application Form

FIMS 2014

FRONTIERS IN MEDICAL SCIENCES:

DIABETES, CANCER AND THEIR CONNECTION

APPLICATION FORM

PERSONAL DATA

(Mr, Mrs, Ms, MD, PhD, Assistant Professor, Associate Professor, Professor, Post doc, Graduate Student, Undergraduate Student)

PROFESSIONAL DATA
.
NOTES
  • The bank account for the payment is:
    Recipient: TC Maltepe Universitesi
    IS BANKASI MARMARA EGITIM KOYU SB. (1265)
    USD Account Number: 3201
    IBAN: TR13 0006 4000 0021 2650 0032 01
    Swift Code: ISBKTRISXXX
    *Please write “FIMS CONFERENCE” as an explanation.
  • Should you encounter any difficulties with this form, please contact the meeting officer 

     +90 216 626 10 50  / 2720-2718

      or  write to  [email protected]