GIMSOC - ALUMNI REGISTRATION FORM
The Georgian International Medical Student Society was founded to promote advocacy, education, and research amidst students in Georgia. As medical alumni, we are thrilled to reconnect with you and now invite you to register to become a member of our alumni body. By registering as an alumni member, you will have the opportunity to give back to the medical community by providing our juniors with your valuable guidance. Apart from this, you can also network with professionals in the field, receive updates about our society and participate in events and webinars. Please take a few moments to complete this registration form to join the alumni body. Thank you for your time and commitment to our society.
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Email *
Full name
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Contact Number (Whatsapp with country code)
*
Name of the institution you graduated from
*
Year of graduation *
What degree did you obtain from your institution?
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Are you currently in your residency (specialty training)? If no, please state your residency of interest below as "other".
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If answered yes above, state your current field of residency/training (e.g. cardiology, gastroenterology etc)
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Which country are you doing your residency in or which country are you planning to pursue your residency? *
Have you appeared for any licensing exams or are you planning to appear for any license exam in the future? *
Would you be interested in joining our mentorship program and becoming a mentor?
Clear selection
If answered Yes, To who are you willing to mentor?
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Do you have any research experience and have you ever published anything? If yes, then enter your publication topic and paste your publication link below -
Do you have any major professional achievements or milestones?
What are you expecting by being a part of the GIMSOC's Alumni body?
LinkedIn/Facebook/Instagram URL
Indicate affiliations with other medical or social organisations. (if any)
How did you hear about GIMSOC?
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What type of resources would you like to see provided by GIMSOC? (e.g. research, workshops, conferences, etc.)?
In case of any queries or doubts please feel free to E-mail us or reach us on our socials. 
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