In-Person Nurse Registration Fee

Optional Additional Information

Emergency contact details

Please provide the contact details of a person we can reach in the event of an emergency on-site. This information will not be shared or used for any other purpose.

Full Name of Emergency Contact

Relationship to You

Phone Number (including country code)

Emergency Contact Email Address

For your convenience, we encourage you to use our face recognition feature for fast and efficient onsite badge printing.

You can capture your face or upload a recent clear face photo (without wearing sunglasses, etc.).

Photo

I give my consent to the collection, use and processing of my personal data by way of an automated facial recognition tool through the Kenes group Kiosk station.

Click here for consent notice

Important! The billing address and/or VAT number cannot be changed once created

Invoice Details

Company name

Invoice Address Line 1

Invoice Address Line 2

Invoice Address Line 3

Invoice Address City

Invoice Address Country

Invoice Address State

Invoice Address ZIP/Post

VAT Number

Upload Document

To confirm your status please select your file below and then click the upload button at the bottom.

Proof of Nurse status is mandatory -
In order to benefit from the special fee, a submission of your status confirmation (official letter signed by the Head of Department – hospital, company or academic institution which confirms status of the applicant) or copy of your status ID) must be uploaded during the online registration.

File Name\ Description

Upload document

Upload Document

To confirm your status please select your file below and then click the upload button at the bottom.

File Name\ Description

Upload document

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PRESCRIBER / NON-PRESCRIBER

Terms and Conditions

OFFICIAL INVITATION LETTER

In-Person Nurse Registration Fee

PRESCRIBER / NON-PRESCRIBER

Add Photo

Terms and Conditions

OFFICIAL INVITATION LETTER

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