Application Form for Collaborations

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This is a free online platform for all interested in understanding how surgical care services affect maternal and child health, ageing population, and in humanitarian crisis, at all levels of healthcare settings. In addition, it will create awareness for all who would like to understand policy decisions to meet the Sustainable Development Goals towards achieving Universal Health Coverage.

If you would like to collaborate with us on for this programme, please complete the form:

Email *

Name of Applicant *

Email ID of Applicant *

Organisation you are representing *

Link to Organisation’s Website *

Areas of Collaboration *

Education and Training

Research

Advocacy and Promotion

Participation In Meetings/ Conferences/ Events

Other:

Would you like your organisation’s name with logo to be published on our website? *

Yes

Would you like to establish a formal collaboration with GFMER in order for us to send you the form for mutual signatures? *

Yes

Submit

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