APPLICATION FOR NEW BULGARIAN UNIVERSITY
(PRINT ALL INFORMATION)

 

Name: ______________________________ Date: _____________

Date of birth: ________________________________
Address: _______________________________________________________
Phone number: __________________ Fax number: ___________
E-mail address: __________________________________________
Medical School (Name, city, country, years, degree): ________________________________________________________
Postgraduate Training (Type, school or proctor, dates):
_______________________________________________________

Board Certification: Specialty, year (Attach scan copies):
_____________________________________________________________
Years Practicing Cosmetic Surgery: ______________________________
Disciplinary Actions Taken by Any Medical Organization (explain):
________________________________________________________________
LIST THE SPECIALTY IN WHICH YOU WISH TO MAKE THE SPECIALIZATION

(1. Facial Cosmetic Surgery 1 year; or 2. Body Contouring Surgery 1 year; or 3. Cosmetic Medicine 1 year; or 4. General Cosmetic Surgery - 3 years = 1. + 2. + 3.) ________________________________________________________

INSTRUCTIONS
1. Please attach a 2x2 inch photo to the application
2. The one year specialization fee is 17000 Euros.
3. The completed application with fees must be received at least 30 days prior to start of specialization. Incomplete applications will not be accepted for the upcoming specialization.
4. Attach a list of cosmetic surgery cases prior to specialization, if any, with patient identification initials or number, surgery performed, date of surgery, and any postoperative complications of each patient. Of those include some preoperative photos, and postoperative photos representing your skills.

 

Send the application to: New Bulgarian University
Center for Continuing Education
Body 1, Office 107
21 Montevideo Str.
1618 Sofia, Bulgaria
Tel/Fax: +359 2 8110 157
E-mail: mkitanova@nbu.bg
Bank account: EURO
New Bulgarian University
21 Montevideo Str., Sofia, Bulgaria
Raifeisen Bank
18/20 Gogol Str.
Code: 15591550
Acct. No.1460052998
SWIFT: RZBBBGSF