signet ISS-SIC
International Society of Surgery (ISS)
Société Internationale de Chirurgie (SIC)

 

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Application Procedures

ONLINE APPLICATION FOR ISS/SIC MEMBERSHIP

PERSONAL INFORMATION

Field with an asterisk (*) are mandatory.

Sex:*
Academic Title:*
Family Name:*
Given Name(s):*
Middle Name(s):
Date of birth:* Year:
Address:*
City:*
State/County/Province:
Postal Code / Zip:*
Country:*
Nationality:*
Phone:
Phone Mobile:
Fax:
Name and titles on diploma:*  as it should appear on your membership diploma
(including titles, do not exceed 30 characters)
E-mail:*
Medical schools:*
Degrees:*
Present position:*
Main Hospital Affiliation:*
  (only 1)
City of Hospital:*
Specific fields of interest: * in decreasing order of priority
1:
2:
3:
Main National Surgical
Societies to which you belong:*
Sponsors:  
Must be members of ISS/SIC
Refer to ISS/SIC Membership List
(click here)		 Sponsor 1 Name:*
Sponsor 1 E-mail:*
 
 Sponsor 2 Name:*
 
 Sponsor 2 E-mail:*
Please list your three most important
publications within the last 5 years*


In addition to your request for ISS/SIC-membership do you also wish to become a member of:

(Please note that a special Annual Assessment will apply for each extra membership in one of the listed integrated societies)

a) the International Association of Endocrine Surgeons (IAES)
NO
YES

 Geoffrey B. Thompson, Secretary Treasurer of IAES
e-mail: thompson.geoffrey@mayo.edu

b) the International Association for Trauma Surgery and Intensive Care (IATSIC)
NO
YES

 Erwin Thal, Secretary Treasurer of IATSIC
e-mail: Erwin.Thal@utsouthwestern.edu

If you apply for IATSIC Membership you must submit your complete Curriculum Vitae to:
e-mail: surgery@iss-sic.ch

c) the International Association for Surgical Metabolism and Nutrition (IASMEN)
NO
YES

 José E. Aguilar-Nascimento, Secretary of IASMEN
e-mail: aguilar@terra.com.br

d) the Breast Surgery International (BSI)
NO
YES

 Gaurav Agarwal, Secretary of BSI
e-mail: gaurav@sgpgi.ac.in

e) the International Society for Digestive Surgery (ISDS)
NO
YES

 Tonia Young-Fadok, Secretary of ISDS
e-mail: youngfadok.tonia@mayo.edu

Please be informed that a copy of this membership application will be sent automatically to the requested integrated society which you have ticked.

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