Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Visa Requirement and Invitation Letter:Ensure that your documents are correct and complete before you commence your journey. Participants must register for the event before applying for a VISA. If you need and invitation letter, fill all fields required on the registration form. For more information on visa requirements, please visit the website of Ministry of Foreign Affairs of Portugal. Please keep in mind that a visa application may take some time to be processed. Apply for the visa early on to ensure its approval before the congress begins. Check with your local embassy what sort of documents are necessary in your specific case, as this may differ between participants from a same country.Identification: Name *FirstLastEmail Confirmation *EmailConfirm EmailPhone *Nacionality: *Profession: *Occupational TherapySLPPhysiotherapyMedical DoctorNurseTeachersParentsOtherOther Profession: *Passport Information for Invitation LetterIf you need a letter invitation for an visa entry request, please add your passport information here. Name as shown on passport, passport number, expiration date of the document and country.Registration:Registration Type: *Early Bird - 450 € (ends April 30th)Post Graduation Students (5 and 6 editions) - 400€ (ends May 31st)Scientific Committee - 400 €ICEASI Full Member Delegates - 400€ (ends April 30th)7senses/ ESTESCoimbra Post Graduation Student Number *Preencha o campo com o seu numero de estudante da Pos Graduação. Exemplo: 20221xxxxx.Which Full Membership are you representing? *Sort Courses Choice:You can choose 2 short courses from each block:Block One: *SC 1 - Bar-ShalitaSC 2 - Isabelle BeaudrySC 3 - Wolf MehlingPlease choose 2 short courses from this 3!Block Two: *SC 4 - Roseann SchaafSC 5 - Susanne Smith RoleySC 6 - Zoe MaillouxPlease choose 2 short courses from this 3!Meals:Do you have any food restriction? *YesNoPlease describe below your food restrictions: *Do you have any food intolerance? *YesNoPlease describe below your food intolerance * you Profession: Please Other Options:Parking - 30€ - 3 days *YesNoGala Dinner - 60€ *YesNoInvoice Details:Name on Invoice: *Same as Registration NameOtherFiscal Name Identification: *Fiscal Number: *Fiscal Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPayment Details:Payment Method: *I understand that the payment should be made only by bank transfer to the following bank account details: 7senses - IBAN: PT50 0010 0000 40896670001 14 - SWIFT/BIC: BBPIPTPLTransfer Fees: *I understand that transfer costs borne by meDeadline Payment: *I understand that registration is valid upon proof in 7 consecutive days from the day of registration. After the end of the payment period, my registration is automatically cancelled.Payment Proof: *I understand that i need to send the payment proof to the following email address: registration@isic2025.ptSubmit
