KSES – TOSSM Traveling Fellowship Program 2024
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1. Name and family name

*
2. Date of birth *
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3. Age.......years old *
4. Hospital *
5.  Latest attended TOSSM meeting date *
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DD
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YYYY
6. 1 English competency test
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6.2 English Score.......points
7.1 Topic and abstract 1 (NOT more than 500 words) *
7.2 Topic and abstract 2 (NOT more than 500 words)
*
8. Give us some words for applying this program (English) *
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