Form processing

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  1. You must fill Firstname
  2. You must fill Surname
  3. You must fill Date of Birth
  4. You must fill City of Birth
  5. You must fill Postal Code
  6. You must fill Address
  7. You must fill City
  8. You must fill Country
  9. You must fill your Email
  10. You must fill Institution
  11. You must fill Institution Address
  12. You must fill University you graduated from
  13. You must fill Letter explaining your motivations
  14. You must fill Curriculum vitae
  15. You must fill Previous experience in surgery
  16. Antispam protection does not match (it is case sensitive).
  17. You must agree to the publication of names and photographs on the website