EPSA Annual Reception 2020

Date

March 3, 2020

Time

14:30-17:30	Annual Reception (EPSA achievements, panel discussion)
17:30-19:00	Networking Cocktail

Address

European Parliament, Brussels Belgium

Room PHS 5B1

Full Name *

First Name Last Name
Date of birth *

Day Month Year
Date
E-mail *
ID type *

Passport ID
Number of ID document *
My ID is valid until: *

Day Month Year
this information is requested for the entrance at the European Parliament. If it is not updated or properly filled in, you will not be granted access to the venue
Nationality *
Organisation *
Are you a student? *

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Specify your member association *
Position in your organisation
Do you have a European Parliament badge? (For identities and individuals with European Parliament Transparency Registration) *

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Have you attended the EPSA Annual Reception before? *

Yes No
Additional information
e.g. if special assistance is required
I agree that the personal data collected in this form will be processed by EPSA and the European Parliament and used solely for the purpose of the EPSA Annual Reception registrations. *

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For EPSA members and Alumni, a side programme will happen from the 29th February morning until the 4th of March.

You must register separately through another registration form.
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