Pentru a deveni membru activ al SRE completati formularul de mai jos

 

SOCIETATEA ROMÂNĂ DE ENDOCRINOLOGIE

SRE

CERERE DE INSCRIERE IN SRE

 

Subsemnata (ul)........................................................................................., de profesie...................................................................................., va rog sa aprobati inscrierea mea ca membru activ in SRE incepand cu anul.....

Locul de munca.....

Functia, gredul profesional si stiintific...........

Activitati in domeniul endocrinologie....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Recomandari membrii SRE:...................................................................................................................................................................................................................................................................................................

Adresa de corespondenta (email, adresa de posta, telefon, fax)..............................................................................................................................................................................................................................................................................................................................................................................................................................................................

 

Data                                                                               Semnatura

 

 

 

Formularul completat si semnat va fi trimis la office@sre.ro urmand ca plata cotizatiei sa fie facuta dupa primirea confirmarii de inscriere in SRE


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