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Organisation*
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Type of Organisation*
Ministry
Funding Agency
European Commission
Academic Institution
Healthcare Facility
Industry
ICPerMed Secretariat
Company/SME
Regulatory Authority
Health Insurance Organisation
Policy Organisation
Patient Organisation
Medical Society Representative
Institution for Public Health
Non-Governmental Organisation
Infrastructure
Consortium
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Press
Other
Fonction*
Job Category*
Policy-maker
Programme Officer/Manager
Researcher
Clinician
Medical Doctor
Health Professional
ELSI Expert
Data Expert
Industry Representative
Health Economist
Public Health Expert
Teacher/Professor
Patient Representative
Regulatory Authority Representative
Patient/Citizen
Healthcare Manager
Other
Departement
City*
Country*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling Islands)
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
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Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Navarra
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
S. Georgia and S. Sandwich Isls.
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (Britain / UK)
United States of America (USA)
US Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Email*
Twitter URL (institution)
Twitter URL (personal)
LinkedIn URL (institution)
LinkedIn URL (personal)
Other social media URL
I have read the privacy statement and agree.*
The information provided will be visible by default to other participants (with the exception of the email address hidden by default) and will serve to encourage and facilitate interactions among participants through private chats and the Networking tool.
The Networking tool will offer the possibility to ask and schedule private visioconference meetings among participants during the ICPerMed Conference. If you do not want to be contacted, this feature can be later on deactivated on your profile.
The optional fields above will serve to find relevant participants with whom you want to connect. You will still have the possibility to fill in this information after your registration.
The mandatory information will be used by ICPerMed for the purpose of the conference.
ICPerMed will save the public chat and other polls that could occure during the conference for follow-up purposes.
At any time, you have the right to obtain information on the data stored about you, its origin and recipients and the purpose of the storage. Information on the data stored can be obtained from The French National Research Agency (ANR) at
ICPerMed@agencerecherche.fr
.
At any time, you have the right to object your electronically placed agreement to use your personal data. In this case, please send a short e-mail message to
ICPerMed@agencerecherche.fr
.
In case of any question regarding your registration or the conference, please contact The French National Research Agency (ANR) at
ICPerMed@agencerecherche.fr
.
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