GEST MSK 2026 - Request for a grant support

Family name*

First name*

E-mail adress*

Cell phone number*

Cell phone number (only) Please indicate in front of your phone number, the country dialling code of your country.

Affiliated Medical Center*

Country*

City*

REGISTRATION

N° RPPS (only for french physician/paramedic)*

If you do not have an RPPS number, please note in this section "N/A".

Please Specify*

Other (please specify)*

In what ways can we help you in overcoming the limitation you mentioned?*

In what country do you practice?*

Other (please specify)*

Other, please specify*

ACCOMMODATION

Special accommodation requests

TRANSPORT

Airport and/or station tranfers will be handled by the organization. You will receive detailed information in your travel book few days before your departure by email.

Your flight will be in economic class, if you wish to travel in business class, it will be to your own charge.

Departure city*

Departure date*

Return city (if it is not departure city)

Return date*

Membership card type and number (airline, railroad company...)

Preferred Airline company

Upload your passport or ID Card*

Types de fichiers acceptés : jpeg, jpg, png, pdf, gif, Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Special travel requests (aisle, window...)

We will reimburse you up to :
- France : 450€
- Out of France : 750€
Thank you for sending your receipts and your bank details after the congress to :
registration@gestmsk.com

We will proceed to your refund by bank transfer within 4 weeks after the conference depending of your departure country. If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Name

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