Participant type Student / Doctoral student / PostDoc (140€)Group leader / Professor (250€)Industry (600€) First name Last name Your email Organisation / Company Billing Address City Country VAT Number Bank Transfer Details Beneficiary Bank Name and Address: AGÊNCIA DE GESTÃO DA TESOURARIA E DA DÍVIDA PÚBLICA – IGCP, E.P.E. AVENIDA DA REPÚBLICA, Nº 57, 6º Lisbon, 1050-189, Portugal Beneficiary’s Account No.: Account No: 00000004545 IBAN: PT50 0781 0112 00000004545 16 Swift Code of Beneficiary Bank: IGCPPTPL Beneficiary’s Name & Address: INSTITUTO DE HIGIENE E MEDICINA TROPICAL – UNIVERSIDADE NOVA DE LISBOA RUA DA JUNQUEIRA Nº100 Lisbon, 1349-008 Portugal Payment Confirmation ⚠️ Important: When making the bank transfer, please mention your full name in the payment reference to help us track your payment. 📩 After completing the payment, kindly send your payment confirmation (bank transfer receipt) to: *protected email*. By submitting your information, you're giving us permission to email you. You may unsubscribe at any time. I am aware that the registration is only complete after receipt of my payment. 2024-09-25