Application for MIBB membership in case of an accredited center (Expert)

    Applying Person:

    Name, Surename, Degree

    medical specialty

    Address, Zip Code, Town

    phone

    E-Mail


    Accredited Institution/Center

    Leader of Institution/Center:


    Requested Files to upload

    Confirmation of 12 VAB- interventions in the last 2 years


    Only Pdf-Files, Word-Files or Images (png/jpeg); Max. Size 5mb

    Membership of the Swiss Society of Senology


    Only Pdf-Files, Word-Files or Images (png/jpeg); Max. Size 5mb

    Confirmation of the MIBB- Certification Course


    Only Pdf-Files, Word-Files or Images (png/jpeg); Max. Size 5mb


    Your message (optional)


    By applying for MIBB membership you agree to make the following commitments:


    Please enter the correct Answer: