Simulation Centre Application

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Name of Simulation Centre *

Are you an accredited Simulation Centre Yes No

Is there a short name or abbreviation for your Simulation Centre? *

Please give us a short description of your Simulation Centre *

Simulation Centre Address (without ZIP code, City or Country) *

The number of different courses available at your Simulation Centre *

Simulation Centre City *

Simulation Centre ZIP Code *

Simulation Centre Country *

The official email address for your Simulation Centre *

The official webpage for your Simulation Centre *

The official telephone number for your Simulation Centre including country code *

Please appoint a contact spokesperson for your Simulation Centre and enter their name *

Contact spokesperson for your Simulation Centre *

Email address of spokesperson *

Telephone number including country code of spokesperson *

Is there a short name or abbreviation for your Simulation Centre? *

Please upload images including your Simulation Centre logo

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