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Network Registration: WHO Western Pacific Infection Prevention and Control Network
Network Registration form for Member States of the WHO Western Pacific Region
Webinar Registration for NON MEMBER STATES can be found at:
https://forms.gle/xFXEQ5X8uGxsKMKWA
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* Indicates required question
Email
*
Your email
Family name
*
Your answer
First name
*
Your answer
Country
*
Network Registration is only open to Member States of the WHO Western Pacific Region. If you are not within the Region but wish to be notified of upcoming webinars please go to this link and complete the form:
Choose
American Samoa
Australia
Brunei Darussalam
Cambodia
China
Commonwealth of the Northern Mariana Islands
Cook Islands
Federated States of Micronesia
Fiji
French Polynesia
Guam
Japan
Kiribati
Lao People's Democratic Republic
Malaysia
Marshall Islands
Mongolia
Nauru
New Caledonia
New Zealand
Niue
Palau
Papua New Guinea
Philippines
Pitcairn Islands
Republic of Korea
Samoa
Singapore
Solomon Islands
Tokelau
Tonga
Tuvalu
Vanuatu
Viet Nam
Wallis and Futuna
Other (Only Member States are able to be Network members)
What type of organisation do you work with/in?
*
Choose
Government health service/hospital
Private health service/hospital
Academic institution
Non-government organisation
International government organisation
Other
What position do you hold?
*
Choose
Infection Prevention and Control Officer/Coordinator
Nurse
Doctor
Academic
Laboratory staff
Environmental services staff
Public health staff
Program Officer/Coordinator (NGOs/International Organisations)
Other allied health staff
Do you give permission for your contact details to be shared with other members of the Network?
*
Yes
No
Send me a copy of my responses.
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