CONSISE Membership Sign-up

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* 1. Please provide your details below.

Surname: *

Given Names: *

Institution:

Department/Division:

Title:

Telephone number (including country code):

Email Address:

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* 2. Working group of interest to you (please tick at least one):

Laboratory

Epidemiology

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* 3. I have read and agree to the terms of the CONSISE membership (policy document detailed above).

Yes

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* 4. In order to take part in CONSISE online activities, including group discussions and content sharing,
you will also need to register your details and create a username for The Global Health Network.

You will be automatically redirected to the network registration page after submitting your details here.

I confirm I have read these requirements.