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Application for Participation in Ifmsa Exchange

Application for Participation in Ifmsa Exchange

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Published by Karmeḽ Ŝadiq

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Published by: Karmeḽ Ŝadiq on May 01, 2011
Copyright:Attribution Non-commercial


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APPLICATION FOR PARTICIPATIONPlease fill everything usingREDcolorName:Gender:Passport Number:Nationality:Date of Birth:Academic Year:University:Committee:Position:Regional Position "If you have":How many National Assemblies have you attended?Have you ever attended Eastern Mediterranean Meeting (EMR) meetings? If yeshow many?How many General Assemblies have you attended?Are you an Executive Board member, National Officer, Support DivisionCoordinator, National Project Coordinator or local officer in IFMSA Palestine?"If yes tell us"
NOAre you organizing any sessions? Are you doing any presentations? "If yes tellus"
NOList briefly the activities you organized or participated in IFMSA Palestineafter April 2010 and till November 2011:
List briefly the activities you organized or participated in IFMSA Palestinebefore April 2010:List 3 fields of medical sciences that you are interested in doing research in e.g.Mental Health, Microbiology, and Immuno-Genetics …etc:List briefly your goals for attending the exchange program:Describe briefly how you will use the experience you get there to help IFMSA-PSand Al-Quds school of medicine in the future:To which of the following registration assistance from IFMSA you apply forfund?
Delegate registration
I will pay my registration myself To which of the following TAF (Travel Assistance Fund) from IFMSA do youapply?
Full Ticket
Half a Ticket
I 'll Pay the ticket myself If you don't get assistance fund from IFMSA-PS, do you still would like toparticipate in the exchange program on your own?

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