ESES ONLINE MEMBERSHIP APPLICATION - ESES - EUROPEAN SOCIETY OF ENDOCRINE SURGEONS

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I apply for ESES membership as:*	active memberjunior membercorresponding member
title
first name*
last name*
date of birth*
street*
postcode*
city*
country*
e-mail*
phone
To complete your application, we would kindly ask you to upload your CV, including your list of publications and list of endocrine surgical procedures here (PDF format, max. size 5MB)*
The ESES assures to collect, process and use only those personal data of its members which are necessary for the support and administration of the ESES as well as for the pursuit of the goals of the ESES. Please use the following link to read our detailed data protection regulations: Privacy Policy
I agree to receive information about the activities of the ESES via newsletter*	yesno
I agree that my personal data (name, e-mail address) be passed on to cooperation partners of the ESES in order to receive information on future activities (e.g. conferences, congresses)*	yesno
I agree that my personal data (name, address, e-mail address) be published in the members‘ only area on the website of the ESES*	yesno