Registration

Please fill in the form and confirm by clicking "Continue".
If you have any further questions please contact Conventus at (e-mail registration@conventus.de).

For relaxed travel, we recommend our exclusive congress train ticket in cooperation with the Deutsche Bahn. Further information can be found here: https://dbs-expertsummit.de/

If you require hotel accommodation or more information about the conference, please refer to the congress website: https://dbs-expertsummit.de/.

We recommend to take out your own seminar cancellation insurance to cover the financial risks of cancellation costs.

Please note: For security reasons the form you are presently using will automatically be interrupted and reset after 20 minutes. To guarantee and protect your information the entire online Registration form is encrypted with SHA (256 BIT).

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Personal Data

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Participation category*

Medical staff
Other professions
Medical staff in further education (without specialist title)
Students

Medical staff

Other professions

Medical staff in further education (without specialist title)

Students

Gender*

Degree

First Name*

Last Name*

Tax id

CME

Possible certifications

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I will need the following certification(s):*

National State Chamber of Physicians (Please enter your CME No. in Personal data above!)

Medical certification for Austria or Switzerland

I will need a certification of the EACCME.

I do not need any certification or only a general certificate of attendance.

Individual/personal e-mail

Address

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Company

Department

Addition to address

Street*

ZIP*

City*

Country*

Additional e-mail address for sending invoices

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Please also use the following e-mail address for sending invoices:

Communication

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Phone Number

Fax

Email*

Email (Verification)*

Self-disclosure on the Therapeutic Products Advertising Act

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According to the Advertising of Medicines Act. "Heilmittelwerbegesetz" (§10), prescription-only medicines may only be advertised to “doctors, dentists, veterinary surgeons, pharmacists and persons who are permitted to trade in these medicines”.

Self-disclosure on the Advertising of Medicines Act*

I belong to this group of professionals.

I do not belong to this group of professionals.

Please fill in the following details in case you need an invitation letter

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Place of birth

Date of birth

Nationality

Passport - Date of Issue

Passport No.

Passport - Date of Expiry

Please note: invitation letters can only be sent after your payment has been received.

Passing on your data to participating industry partners.

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Industry presentations are an essential part of the congress. In order to gain an overview of the target group, it is helpful for industry representatives to receive a list of participants. This is possible if you give your consent to your name and institute being passed on to the industry partners participating in the event (the current list of registered companies can be found here: > Overview).

I agree that my contact information (last name, first name, and institution) will be made available to the exhibitors and sponsors linked above after the conference. I can revoke this consent at any time, in whole or in part, without giving reasons, by notifying them of this revocation.

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