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ICL Submission Form - SECEC Congress - Paris 2027

To be completed by ICL Chair candidates before Dec 9th 2026
Please contact scientific@congress.secec.eu for any question

ICL description

Proposed title

Basic / advanced

A
B

Category

A
B

Short summary of the ICL (Max. 100 words)

ICL learning objectives

ICL Chair

The ICL Chair should be a SECEC member, he/she should have participated at least once in a podium or poster presentation, and have attended at least 2 SECEC annual meetings in the past few years.

First Name

Last Name

E-mail address

Name of your main Institution/Hospital

Country

SECEC Congress attendance

Speakers

Minimum 3 speakers / 4 speakers maximum

Please note that each speaker should be SECEC member or apply for membership before SECEC Paris 2027 :
- to renew : https://www.secec.eu/personal-area/
- to become a member: https://www.secec.eu/become-member/
This point will need to be validated before your ICL can be confirmed.

Speaker 1

First Name

Speaker 2

First Name

Speaker 3

First Name

Speaker 4

First Name

Last Name

Last Name

Last Name

Last Name

Job Title

Job Title

Job Title

Job Title

Institution

Institution

Institution

Institution

Email Address

Email Address

Email Address

Email Address

Country of residence

Country of residence

Country of residence

Country of residence