EPNS Exam ONLINE Registration Form

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Please select one: (*)

---I am registered as a specialist Paediatric Neurologist AND I currently practice in the field of Paediatric NeurologyI am a residents/trainee in Paediatric Neurology with at least 2 years of training AND I am a qualified physician.

Please select one: (*)
---I have been registered as a specialist Paediatric Neurologist for one to three yearsI have been registered as a specialist Paediatric Neurologist for four to six yearsI have been registered as a specialist Paediatric Neurologist for seven to ten yearsI have been registered as a specialist Paediatric Neurologist for more than ten yearsI have been a residents/trainee in Paediatric Neurology for two years.I have been a residents/trainee in Paediatric Neurology for three years.I have been a residents/trainee in Paediatric Neurology for four years.I have been a residents/trainee in Paediatric Neurology for five years or more.

Title (*)
---Ass ProfDozDrProfProf DrMsMr

First name (*)

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Email (*)

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Country (*)
---AFGHANISTANÅLAND ISLANDSALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCONGOTHE DEMOCRATIC REPUBLIC OF THECOOK ISLANDSCOSTA RICAIVORY COASTCROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFRENCH SOUTHERN TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUERNSEYGUINEAGUINEA-BISSAUGUYANAHAITIHEARD ISLAND AND MCDONALD ISLANDSHOLY SEE (VATICAN CITY STATE)HONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISLE OF MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA-DEMOCRATIC PEOPLES REPUBLIC OFKOREA-REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLES DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA-THE FORMER YUGOSLAV REPUBLIC OFMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA-FEDERATED STATES OFMOLDOVA-REPUBLIC OFMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINIAN TERRITORY-OCCUPIEDPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT BARTHÉLEMYSAINT HELENASAINT KITTS AND NEVISSAINT LUCIASAINT MARTINSAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESLOVAK REPUBLICSLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDSSPAINSRI LANKASUDANSURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB REPUBLICTAIWAN-PROVINCE OF CHINATAJIKISTANTANZANIA-UNITED REPUBLIC OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESUNITED STATES MINOR OUTLYING ISLANDSURUGUAYUZBEKISTANVANUATUVENEZUELAVIET NAMVIRGIN ISLANDS-BRITISHVIRGIN ISLANDS-U.S.WALLIS AND FUTUNAWESTERN SAHARAYEMENZAMBIAZIMBABWE

Are you a member of the EPNS?(*)
---yes, I am an EPNS member and I have paid my current year EPNS membership feeNo I am not an EPNS member

How will you be paying for the EPNS Exam registration fee? Payment details will be sent in the automatic acknowledgement email.(*)
---debit/credit card via EPNS website (only available to EPNS members)bank transfer

I have read, understood and accept all information provided on the EPNS webpage https://www.epns.info/epns-exam/(*)

I understand that to confirm my EPNS Exam registration, I must pay the EPNS Exam registration fee and complete the EPNS Exam DETAILED Registration Form which can be downloaded from the EPNS website https://www.epns.info/epns-exam/ (Note: details will be provided in the automatic response which will be sent after this EPNS Exam ONLINE Registration form has been submitted).(*)

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