2024 ESAM Academy Advanced Course Registration
Online Lectures (42 hours) - 23 October to 22 November 2024
  • 23.10 - 16:00-19:00
  • 25.10 - 16:00-19:00
  • 26.10 - 09:00-16:00 (1 hour lunch break)
  • 30.10 - 16:00-19:00
  • 02.11 - 09:00-16:00 (1 hour lunch break)
  • 06.11 - 16:00-19:00
  • 08.11 - 16:00-19:00
  • 13.11 - 16:00-19:00
  • 15.11 - 16:00-19:00
  • 16.11 - 09:00-16:00 (1 hour lunch break)
  • 20.11 - 16:00-19:00
  • 22.11 - 16:00-19:00
Practical Training (24 hours) - 25-28 November 2024
  • In Brussels
  • Written examination
  • Participants are responsible for organizing and funding their travel and accommodation costs
  • Further information (e.g., detailed curriculum, schedule, accommodation recommendations, etc.) will be provided upon acceptance and receipt of payment for the course.
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First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Medical Degree Completed? *
Medical Specialization *
(e.g., ophthalmology, neurology, endocrinology, cardiology, etc.)
Full Postal Address *
Postal address will be listed on your invoice for €2150. Please include your country. Example:

Linder Hoehe 55
51147 Cologne
GERMANY
Mobile Phone *
Needed for practical course. Please include +country code (e.g., +47 123 456 7890).
Email Address *
Used for invoice and all course communication
Institutional Affiliation *
(e.g., German Aerospace Center (DLR) Aeromedical Clinic)
English Language Skills *
All course instruction is in English
Nationality *
Must be provided for gate access in Brussels, together with your first name and last name. You will be required to bring your passport to the front gate.
Basic AME Course Certificate/Diploma Date *
MM
/
DD
/
YYYY
Additional Comments
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