COE Application - EAC-BS - European Accreditation Council for Bariatric Surgery

CENTRES OF EXCELLENCE

IFSO-endorsed CENTRES OF EXCELLENCE PROGRAM
in EUROPE, MIDDLE EAST and AFRICA

Welcome to the Registration Process for Provisional Status

A complete application must consist of at least 2 application portfolios:
Institution + Surgeon(s) (one or more surgeons)

Applying Institutions may have at least one surgeon fulfilling IFSO requirements in order to become Centre of Excellence (COE).

As soon as the application reaches EAC-BS and fees have also been paid, access codes will be provided in order to begin entering your bariatric patients in the International Bariatric Registry (IBARTM).

You have to fill in all the mandatory fields, otherwise you will not be able to finish the registration process.

Institution (Step 1A)

Fill out this form and click Next in order to move to the next steps. All fields need to be filled-out.

Type of Facility

Please select type of your facility

VAT Number Explanation)" for="revenue">VAT Registration Number

Please fill in revenue details

Name of Institution

Please fill in the name of institution

Postal Address of Institution

Please fill in postal address of institution

Postal Code

Please fill in institution postal code

City

Please fill in 'City' field

Country

Invalid Input

E-mail Address

Please fill in institution's email address

Website URL

Please fill in institution's website url

Contact Person

Please fill in 'Contact person' field

Phone Number

Please fill in your institution's phone number

Fax Number

Please fill in your institution's fax number

Cell Phone

Please fill in a valid cell phone number

I hereby certify that all the information contained in this application is, to the best of my knowledge, true and

I give my full consent to the aforementioned terms and conditions. Please agree to proceed

Billing Information

Description

Amount

Registration Fee for Provisional Status Institution

2000 €

Surgeon 1:

500 €

Total: 2500 €

For Institutions in the European Union, having VAT number, no additional VAT will apply.
Surgeons in the European Union, paying on their own, are subjected to an additional VAT 19%.
Institutions and Companies with VAT number, covering Surgeons' expenses, are excluded from the extra VAT charge.
Institutions and Surgeons outside the European Union, are excluded from any extra VAT charge.

Thank you, for your registration.

Please note that we will contact you soon, in order to inform you about your payment settlement.

Finalize your registration by pressing the submit button below or press "Add Surgeon" button in order to register a new surgeon

Billing Information

Description

Amount

Registration Fee for Provisional Status Institution

2000 €

Surgeon 1:

500 €

Surgeon 2:

500 €

Total: 3000 €

Billing Information

Description

Amount

Registration Fee for Provisional Status Institution

2000 €

Surgeon 1:

500 €

Surgeon 2:

500 €

Surgeon 3:

500 €

Total: 3500 €

Billing Information

Description

Amount

Registration Fee for Provisional Status Institution

2000 €

Surgeon 1:

500 €

Surgeon 2:

500 €

Surgeon 3:

500 €

Surgeon 4:

500 €

Total: 4000 €

Billing Information

Description

Amount

Registration Fee for Provisional Status Institution

2000 €

Surgeon 1:

500 €

Surgeon 2:

500 €

Surgeon 3:

500 €

Surgeon 4:

500 €

Surgeon 5:

500 €

Total: 4500 €