RBSS.be - Membership Plan

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Welcome to our community - tell us about yourself and sign up

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Title

Category

First Name

Last Name

Username

Email

Verify Email

Password

Verify Password

Date of birth

Gender

RIZIV/INAMI

Apply as new RBSS member?

No

Yes

Email address of surgical patron 1

Email address of surgical patron 2

Invite Code

University of graduation

Typ here your university and country.

Year of diploma Medicine

Recognized surgeon?

In surgical training

Recognized surgeon

n/a

Year of recognition in Surgery

Private address - street

Private address - house number

Private address - postal code

Private address - city

Country

Use the following address for written communication from RBSS

my private address

my work address

Institution

Department

VAT number

Street & number

Postal code

City

Country

Work phone

Work fax

Mobile

Web

Specialty

Background

Other memberships

Other positions

Other committees

Current year of training

Current training hospital

Year of start surgical training

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