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Membership Registration Form
First name
Date of Birth
Middle name
Title
MD
PhD
Bs
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Gender
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Male
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Family name
Nationality
Institute name
Institute Address
E-mail Address
Occupation
Category of Membership
Member
Instituinal leader
Junior member( in treaning up to 7 years)
National leader
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Reference
Please fill the name of national leader who approved your membership
Geographical
Korea
Japan
China
Singapore
Australia
Europe
North American
South American
Africa
Other
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Curriculum Vitae
Curriculum Vitae
A recommendation letter from the national leader of EAIRDs
Recommendation letter
If you are keen to be an institutional leader of EAIRDs members (i.e. having ID and Password to access EAIRDs database), please attached a signed research contract form (two signatures by the institutional leader and the national leader). Please download the format here.
Research Contract (Signed)
Research Contract
Patient Survey
Patient Survey
If you are keen to be an institutional leader of EAIRDs members (i.e. having ID and Password to access EAIRDs database), please fill the patient survey sheet. Please download the format here.
Please accept our policy.
I agree to the Terms and Conditions.
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