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Resident Olympics: Balkan Cup
Application Form
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* Indicates required question
Your country
*
Your answer
Name of your clinic
*
Your answer
Would you like to give your group a name? If yes, please write it down. (If you do not specify, the clinic name will be used as the name for your group in the tournament.)
*
Your answer
Write down the name and mail address of the resident number 1 in your group.
*
Your answer
Write down the name and mail address of the resident number 2 in your group.
Your answer
Write down the name and mail address of the resident number 3 in your group.
Your answer
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