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 Event tickets in cooperation with the Deutsche Bahn. For further information on Deutsche Bahn's event offers, hotel reservation and all aspects of the congress, please visit the official congress homepage: www.gpts-kongress.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).

DO NOT use the "back" function of the internet browser. This can lead to termination and loss of data.

Membership

* Input required

Please indicate which Society you are a member of.*

German Society for Pharmacology (DGP)

German Society for Toxicology (GT)

German Society for Clinical Pharmacology and Therapy (DGKliPha)

Association for Applied Human Pharmacology (AGAH)

Austrian Pharmacological Society (APHAR)

Dutch Pharmacological Society (NVF)

Dutch Society for Toxicology (NVT)

No Membership

Information regarding 'Partcipant Type'

* Input required

Please note the following information regarding 'Partcipant Type':

- You hold an academic title such as Dr. rer. nat., PhD, Dr. med. (postdocs)
- You are a member of the organising societies (DGP, GT, DGKliPha etc.)
> Then please select Member as the applicable participant type.

- You hold an academic title such as Dr. rer. nat., PhD, Dr. med. (postdocs)
- You are not a member of the organising societies (DGP, GT, DGKliPha etc.)
> Then please select Non-member as the applicable participant type.

- You are a Bachelor's student, Master's student, medical student or doctoral candidate?
> Then please select Student as the applicable participant type.

Personal Data

* Input required

Participant Type*

Non-member
Member
Retiree
Students, PhD
ONLY participation in Advanced Courses

Gender*

Degree

First Name*

Last Name*

Tax id

CME

Possible certifications

* Input required

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

Address

* Input required

Company

Department

Addition to address

Street*

ZIP*

City*

Country*

Additional e-mail address for sending invoices

* Input required

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

Communication

* Input required

Phone Number

Email*

Email (Verification)*

Self-disclosure on the Therapeutic Products Advertising Act

* Input required

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

* Input required

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.

	payment methods	supported by