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APSC Young Community Membership Application
Membership requirements
Age <=45 years old
From APSC members region
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Year of Birth
*
Your answer
Contact Email Address
*
Your answer
Member Society you belong to
*
Cardiac Society of Australia and New Zealand
Bangladesh Cardiac Society
Cardiac Society Brunei Darussalam
Cambodian Heart Association
Emirates Cardiac Society
Hong Kong College of Cardiology
Cardiological Society of India
Indonesian Heart Association
Iranian Heart Association
The Japanese Circulation Society
The Korean Society of Cardiology
National Heart Association of Malaysia
Mongolian Society of Cardiologists
Myanmar Cardiac Society
Cardiac Society of Nepal
Pakistan Cardiac Society
The Cardiothoracic Society of Papua New Guinea
Philippine Heart Association
Singapore Cardiac Society
Sri Lanka College of Cardiology
Taiwan Society of Cardiology
The Heart Association of Thailand
Vietnam National Heart Association
Affiliation
*
Your answer
URL to your CV (if available)
Your answer
Reason for application
Your answer
Area of Interest
*
Resarch
Education
Interventional Cardiology
Heart Failure
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