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

    Applying Person:

    Name, Surename, Degree

    medical specialty

    Address, Zip Code, Town



    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: