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

    Membership of the Swiss Society of Senology

    Confirmation of the MIBB- Certification Course


    Your message (optional)


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

    Please enter the correct Answer: