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CIS Membership Form-individual member
Name:
Nationality:
Type of ID:
ID Number:
Affiliation:
Position/Title:
Email:
Phone number:
Mobile:
optional
Gender:
Male
Female
Date of birth:
Highest Degree:
Field of Expertise:
Academic/Professional Title:
Concurrent Social Positions/External Appointments:
Mailing Address:
City of Residence:
optional
A Professional Committee or Branch:
optional
A Brief Introduction of Published Works:
Major Scientific and Technological Achievements:
Research Interests:
Awards & Honors:
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