The European Academy of
Gynaecological Surgery
Diestsevest 43/0001
3000 Leuven
Belgium
T +32.16.629.629
F +32.16.629.639
E info@theAcademyHouse.org

Registration form

If you prefer to complete your booking on paper, please use our offline form:
Academy Courses 2013 - Registration form - Leuven, Belgium [PDF] or
Academy Courses 2013 - Registration form - Nicosia branch, Cyprus [PDF]

Name *
First name *
Institute *
Function *
Street, n° *
Zip & City *
Country *
Phone *
E-mail *
ESGE-member
A to Z Laparoscopic Suturing Course


Modern Hysteroscopy Course


Transvaginal Laparoscopy Course
Participation cost Select the course above you would like to enlist to.
* Obligatory