Jean Delaire Congress

Account creation

Fields marked with * are mandatory.

Personal information

Gender

Select...

Male

Female

First name

Last name

Email (it will be your login ID)

Repeat email

Password Your password must contain at least 8 characters, including one lowercase, one uppercase, and one number.

Confirmation

City / Country

City you wish to appear on your badge and / or in the congress program

Country you wish to appear on your badge and / or in the congress program

This information can be modified in My account > My profile.

Additional information

Mobile phone

Company / Organization / Institution (if not applicable: please indicate "NA")

Function / Expertise

If other:

RPPS Number (For French practitioners)

I have read and I accept GDPR privacy