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Before applying, please prepare the following documents:

Article (.pdf or .doc)
Confirmation that the material was accepted for publication (for the research work that has not been published yet, .pdf or .jpeg)
The consent of first or leading author (if you are not first or leading author of the article)

Please read the instructions carefully before submitting your application.

Please note that all the fields marked with asterix (*) are obligatory.

1 of 4

Contact

Next: Upload Work

Personal information

Please select

Mrs

Title

MSc

PhD

PharmD

First Name

*First Name

Last Name

*Last Name

Year of Birth

*Year of Birth

Contact information

*Email

Phone

*Phone

Your country

Upload your research work

2 of 4

Upload your work

Next: Education

Upload your research work

Research field

Research work

Name of the journal that published research

*Name of the journal that published research

Organisation, in which the research was conducted

*Organisation, in which the research was conducted

Order of authorship

First

Leading

Other

Names of all first and leading authors

Name of first leading author

Name of second leading author

Name of third leading author

Name of fourth leading author

Name of fifth leading author

Name of sixth leading author

Name of seventh leading author

Name of eighth leading author

Name of nineth leading author

Name of tenth leading author

I hereby confirm that the first or leading co-author of the research work consents with my application for the International Medis Awards. If you are the first or leading author, please also confirm this.

Education and career

3 of 4

Education

Next: Review

Specialization

Your specialization

*Your specialization

Education

Name of institution (Diploma)

Year

Name of institution (Master's degree)

Year

Name of institution (Doctor's degree)

Year

Name of institution (Specialization)

Year

Current career position

*Current career position

Institution

*Institution

Clinical Practice

I work in daily clinical practice in institutions throughout the region in the field that I am applying for the International Medis Awards.

*I agree with all terms and conditions of the contest. I agree with the terms and conditions and I understand the contest’s rules. I agree to announcements in any publication where Medis chooses to publish information connected to the contest or International Medis Awards Ceremony. I agree to collaborate with Medis team and to be available for photographs and interviews if requested. I agree that video materials created for or by Medis can be used in print and/or in digital form as International Medis Awards materials or to promote the International Medis Awards or other events in the future.

*If announced as winner in a category I agree to receive the International Medis Awards sculpture and a financial reward to which I am entitled at the International Awards Ceremony. If announced as finalist in category I agree to receive the financial reward to which I am entitled to at the International Awards Ceremony. If I win and receive a International Medis Award, I agree to pay any taxes or potential costs connected to receiving the award.

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