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ICMS 2019
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First Name And Last Name*
Prefix First Last
Middle Name
Middle
Date Of Birth*

DD
MM
YYYY
Gender*
- Male
- Female
Nationality*
Phone - Country code. Use format: +(###).*
Phone number - without the country code. Format: ### ### ###*
Do you need an invitation letter?*
- Yes
- No
for VISA purposes only
ID/Passport Number*
ID/Passport Country of Issue*
ID/Passport Date of Issue*
ID/Passport Date of Expiration*
Country of University*
Name of University*
Degree Pursued*
- Bachelor
- Masters
- PhD
Year of Studies*
- First
- Second
- Third
- Fourth
- Fifth
- Sixth
- Graduated

Username*
Password*
Enter Password Confirm Password
Email*
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DO NOT use the abv.bg domain.
Facebook Profile (optional)
LinkedIn (optional)

1. How did you find out about ICMS?*
Ambassador Name:
Please copy the name from the Ambassador List on the website.
2. Is this the first time you are participating in ICMS?*
- Yes
- No
Would you like to participate in Ace The Case – The Clinical Competition ?*
- Yes, I would like to participate in Ace The Case – The Clinical Competition
- No, I don't want to participate

If you have any questions regarding the abstract submission, please contact us at scientific-program@icmsbg.org
Choose presentation*
Type of presentation*
- Oral presentation
- Poster presentation
Choose session*
- Preclinic
- Therapy
- Surgery
- Public Health
Area of research*
- Anatomy
- Biochemistry
- Biophysics
- Genetics
- Physiology
- Molecular biology
- Pathology
- Pharmacology
- Pathophysiology
- Biology
- Biotechnology
- Anaesthesiology
- Cardiology
- Dermatology
- Gastroenterology
- Other
Please follow these steps to fill in correctly the fields below:
1. Fill in the gaps for "first" and "last name" of the given author.
2. In the field "First name initial" write only the first letter of the author's first name (without any additional signs). Example: Fist name - Mark, First name initial - M
3. The field "affiliation number" corresponds to the field "affiliation" below. It matches each author to his/her affiliation.
  - Affiliation 1 corresponds to the Presenting author.
  - If a Non-Presenting author has the same affiliation as the Presenting Author you should write "1" in the field "affiliation number".
  - If a Non-Presenting Author has different affiliation than the Presenting Author in the "Affiliation number" field write number "2" and fill his/her affiliation in the field "Affiliation 2" and etc.
For questions contact us on: scientific-program@icmsbg.org
Author 1 – presenting*
First name First name initial Last name Affiliation number 1
e.g. John J Adams
Author 2 – non-presenting*
First name First name initial Last name Affiliation number 1 to 3
e.g. Thomas T Smith
Add author
First name First name initial Last name Affiliation number 1 to 3
Affiliation 1*
e.g. Department of Biochemistry, Medical university Sofia, Sofia, Bulgaria
Affiliation 2
e.g. Department of Biochemistry, Medical university Sofia, Sofia, Bulgaria
Affiliation 3
e.g. Department of Biochemistry, Medical university Sofia, Sofia, Bulgaria
Country of University*
Name of University
Abstract
I agree that my abstract be printed in the abstract book and available online previous to the days of the event.
Title*
Please enter at most 10 words.
Introduction*
Aim*
Materials and Methods*
Results*
Clinical Case Presentation*
Conclusion*
English only.
Keywords*

Add each keyword on new line. Use the + to add a new line.
References
Acknowledgements/Funding
Name
This field is for validation purposes and should be left unchanged.

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