I. ASSOCIATE GENERAL INFORMATION


    Gender

    MaleFemale



    ACADEMIC CREDENTIALS

    DoctorateMaster’sBachelor’sTechnicianOther








    AcademiaIndustry








    II. PROFESSIONAL INFORMATION OF THE ASSOCIATE

    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 Congress:
    (Seleccione una):
    Radio
    Television
    Internet
    By means of chats with colleagues
    Direct invitation
    Through social networks
    Friends
    Other

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

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