Imie/Name

Nazwisko/Surname

Forma uczestnictwa/Type of Participation

aktywny uczestnik/active participant

słuchacz/passive participant

student

młody lekarz/young Doctor

Tytuł Prezentacji/Title of Paper
in polish - polish native speakers/ in english - all participants

Autorzy/Authors
underline presenting author

Opiekun i nazwa koła naukowego/Tutor and Name of Scientific Society
full titles and names

Adres e-mail/Mailing address

Telefon kontaktowy/Contact phone

Nazwa uczelni/Institution
name of university, depatment and adress

Streszczenie/Abstract
in polish - polish native speakers/ in english - all participants

Sesja/Field
tick off your subject

Basic Sciences
Public Health
Geneitc and  Immunology
Clinical Sciences:

Allergology and Pulmonology Cardiology Gynecology and Obstetrics

Internal Medicine Neurology and Psychiatry Pediatrics Surgery

Interdyscyplinar Session

Keywords
up to 6 keywords

Forma Prezentacji/Type of Presentation
tick off

Free Presentation Poster

dodatkowy komentarz/Give your comment: