Application for the EHRA EP Recognised Training Centres




The applying centre should create its own account via MyESC platform providing clear, valid and complete contact details:https://escol.escardio.org/MyESC/modules/User/register_step1.aspx








The name will be published on our website next to the Training Centre name.


The e-mail will be published on our website next to the Training Centre name.























If not certified please answer 3.d.







































Please provide the name and contact information of at least two fellows which has been trained at your centre for the past four years for reference.

* TF = Training Fellowship














































Please indicate the billing address that you want to see on the invoice. If you have a VAT number and if you need a PO (purchase order) number on the invoice, please indicate them in the fields below.
WARNING : Please note that the invoice will be edited and sent only ONCE. So make sure that all the billing information are correct. No invoice modification will be made. Thank you.









PERSONAL DATA PRIVACY
The information collected is subject to a computerized process to record, and track your centre application. The recipients of the data are :
- The staff in charge of processing "EHRA Recognised Training Centre" applications
- Persons to whom the request will be sent for review and evaluation

In accordance with the French law N°78-17 of January 6,1978, amended in 2004, relating to the protection of individuals with regard to the processing of personal data, you have the right to access and rectify information concerning you, which you can exercise by contacting :
Customer Services
European Society of Cardiology
Les Templiers, 2035 Route des Colles
06903 SOPHIA ANTIPOLIS. FRANCE
You can also, for legitimate reasons, oppose the processing of data about you.









Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.