Registration form - ACS event: Heart Failure & Arrhythmias 6-5-2019, 15:45- 18:00

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All researchers (PhD students, postdocs, students etc), from all research programs, are invited to come and hear about all exciting topics that are being studied in ACS, and ask questions to the PI’s presenting.

First name *

Last Name *

E-mail address *

Department *

Research program (multiple answers possible) *

Diabetes & Metabolism

Microcirculation

Heart Failure & Arrhythmias

Atherosclerosis & Ischemic syndromes

Pulmonary Hypertension & Thrombosis

Other:

Required

Amsterdam UMC *

Location AMC

Location VUmc

Function *

PhD student

Postdoc

Principal investigator

Staff member

Research technician

Student

Other:

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