I. ASSOCIATE GENERAL INFORMATION


Gender

MaleFemale



ACADEMIC CREDENTIALS

DoctorateMaster’sBachelor’sTechnicianOther








AcademiaIndustry








II. PROFESSIONAL DATA

KNOWLEDGE AREA (select your area)

Physics, Mathematics and Earth Sciences
Biology and Chemistry
Medicine and Health
Humanities and Behavioral
Social and Economics
Biotechnology and Farming/Agricultural
Engineering and Industry
Other

III. PAYMENT INFORMATION

Type of procedure
RegistrationRenewal

Type of membership
ActiveHonoraryCooperation

Type of fee as active member: (Select one)
Professional
Postgraduate student
Undergraduate student
Older than 65 years of age
Retired
Industrial professional


Requires invoice (Notice of need for VAT charge)
YesNo

III.1 Invoice information

IV. ATTACHED DOCUMENTS

Receipt of payment (pdf or jpg)

Copy of current title (diploma) or ID card from the university if applicable. (pdf or jpg)

Copy of proof of current address(pdf or jpg)

V. ADDITIONAL INFORMATION

1.- How did you find out about the SMLS:
(Seleccione una):
Radio
Television
Internet
By means of chats with colleagues
Direct invitation
Through social networks
Friends
Other

2.- In which of the SMLS activities would you be interested
(mark as many as desired):
Courses
Workshops
Symposiums
Webinars
Other

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