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Please scan this document and send it via email to membership@myesr.

org

Personal ID: 509890

Mrs. Lara Farras Roca


Hospital de Bellvitge
Feixa Llarga s/n
08907 Barcelona
SPAIN

ESR Office
Neutorgasse 9
1010 Vienna
AUSTRIA
membership@myesr.org
July 22, 2015

PROOF OF PROFESSION
This is to confirm that Mrs. Lara Farras Roca, Personal ID 509890, works as a Radiology
resident, at my department/hospital.
I hereby inform the Membership Subcommittee and the Executive Council that Mrs. Lara
Farras Roca
is currently in training at my department
has completed training and is fully qualified in his/her speciality
I acknowledge that the ESR Office may request additional documents, confirming the
professional status of Mrs. Lara Farras Roca at any time.

Yours sincerely,

Signature by head of department or hospital

Official stamp of department or hospital

Please scan this document and send it via email to membership@myesr.org or


upload it in the MyUserArea under the section MyMembership

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