IMBEA Entry Form
This form is for you to send information about yourself to IMBEA.
Please note that all items labeled * are required to complete this form. All other fields (boxes) are optional.
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Email *
Chinese Name 
*
If you don't have Chinese name, please enter your English name.
English First Name
*
English Last Name
*
Date of Birth (mm/dd/yyyy) 
*
MM
/
DD
/
YYYY
Position
*
Organization / School
*
Email 
*
Phone
Address
Homepage
Position and Title at IMB Lab :
Period
*
Start Date/End Date   
EX:
 from 1993 to 2002
Position
*
PI's Name 
*
From the  PI's Name list, If you chose "Others", Please specify :
Expertise/ Research Field
*
Model Organism
Research Keywords
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