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1. Name
2. Profession
3. Institution / Organization
4. Latest academic degree
5. Office address
6. Address of correspondence
7. Telephone/Mobile (Office)
8. Telephone/Mobile (Home)
9. E-mail
10. Field of interest (Please Select)
Non-communicable disease
Tobacco control
Communicable disease
UHC
Out of pocket healthcare expenditure
Antimicrobial resistance
Health research methods
Health data science
Health economic modelling
Other
11. What type of member do you want to be?
a.General
b.Institutional
c.Guest
d.Student
Proof of studentship (If applicable)
12. Currently enrolled program (if student)
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prerequisite, Role and benefits of membership
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