Contact Details

    Work Address

    Home Address

    Cardiologist applicants need to indicate their RIZIV/INAMI number.
    The other categories of applicants need to be supported by one BSC member (for Junior applications, this is the internship supervisor).

    BSC Member Referee

    I am interested in the following Working Groups and Councils*:

    for the purposes of registration, membership communications and other purposes as defined in the Privacy Policy*

    to the BSC confirming my application*