Candidate Details

Course Registration

This registration form is intended only for delegates who have completed the Payment early and confirmed a place on the Advanced Oncoplastic Breast Surgery Course 2026. Completion of this form confirms acceptance of your allocated place.

Title *

Full Name *Enter your full professional name exactly as it should appear on your course certificate

Email Address *Please use the same email address used for your original course application.

Confirm Email Address *

Phone *Please include the international country code, for example: +44 7700 900000

Country of Current Professional Practice *Fee category is based on the country where you currently practise, not nationality.

Hospital / Institution *Enter the name of your current hospital, university or institution.

Pathway and Fee

Step 2 — Pathway and Fee

Select the delegate pathway confirmed in your official acceptance email, then select the applicable fee category.

Applicable Fee Category *Select the option matching your accepted pathway and applicable fee category. The final amount payable includes the 4.43% payment processing and administration fee. LMIC eligibility is based on your current country of professional practice, not nationality.Standard Observer DelegateLMIC Observer DelegateStandard Operative CandidateLMIC Operative Candidate

Confirmation and Payment

Step 3 — Confirmation and Payment

Review your selected pathway, then complete the declarations below

Your course place is confirmed only after the completed registration form

Attendance Confirmation *Yes, I confirm that I will attend the Advanced Oncoplastic Breast Surgical Skills Course 2026.

Course Fee Acceptance *I accept the applicable course fee and understand that my place is confirmed only after successful payment has been received and matched to my registration.

Special Requirements or CommentsPlease provide any dietary, accessibility or other relevant requirements. Leave blank if none.