Registration Details:

Registration Questions:

Professional Role? “See options below”:

Clinician / Physician
Community Representative
Corporate Representative
General Practitioner
Government Representative
Health Administrator
Laboratory Technician / Manager
Medical Student
Media Representative
NGO Representative
Nurse
Pharmacists / Pharmacologist
Researcher
Program Manager/Implementer
Other: … (please specify):

Workplace type? “See options below”:

(University) Hospital
University
Industry
Research Institute
Laboratory
Government Agency
NGO
Society
Press / Publisher / News
Private Practice
Other: … (please specify):

Area of Expertise? “See options below”:

Virology
Hepatology
Immunology
Infectiology
Hepatitis
Bacteriology
Diabetology
Dietology & Nutrition
Pharmacology
Gerontology
Gynecology
Microbiology
Oncology
Pediatrics
Transplantology
Other: … (please specify):

Primary Focus? “See options below”:

HIV
Viral Hepatitis
Immunology
Respiratory Viruses
Liver Disease
SARS-CoV2
Tuberculosis
NASH / NAFLD
HCC
Diabetics
Obesity
Oncology
Other Metabolic Syndromes
Other Viral Infections
Other: … (please specify):

Secondary Focus? “See options below”:

HIV
Viral Hepatitis
Immunology
Respiratory Viruses
Liver Disease
SARS-CoV2
Tuberculosis
NASH/NAFLD
HCC
Diabetics
Obesity
Oncology
Other Metabolic Syndromes
Other Viral Infections
Other: … (please specify):

Are you a:

Prescriber
Non-prescriber
Average number of patients per month?
Years of Practice? Write down years in numbers:

Registration Additional Questions:

If you are a new participant, how did you become aware of this event? “Choose one option only”:

Announcement through my society/organization
Invitation from one of the faculty members
Referred by colleague / word of mouth
Invitation from industry
Social media
Newsletter announcement by Virology Education
Newsletter announcement by Congresso Brasileiro sobre HIV-Aids e Vírus Relacionados
Flyer/Promotion at a non-Virology Education Meeting
Flyer/Promotion at another Virology Education Meeting
Not applicable, already attended this meeting previously
Other: … (please specify):
Type the security code number beside:

Local

Endereço:

Wish Hotel da Bahia
Av. Sete de Setembro, 1537 - Dois de Julho, Salvador - BA

Informações Gerais / Departamento Comercial
Telefone/Whatsapp: (71) 9.8893-1112 E-mail: operacional@tracoeventos.com.br

Departamento Científico / Trabalhos
E-mail: cientifico@tracoeventos.com.br

Departamento de Inscrição
E-mail: inscricao@tracoeventos.com.br