I ask to accept me in the Society young учених and experts National O.O.Bogomolets Medical University. I undertake to adhere steadily to Polozhennja about the SYS. On myself I inform the following data:
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Surname(in Ukrainian language) *
Name(in Ukrainian language) *
Patronymic name(in Ukrainian language) *
Surname(in Russian language) *
Name(in Russian language) *
Patronymic name(in Russian language) *
Surname(in English language) *
Name(in English language) *
Sex *
Birthday *
The birthplace/the place of residence *
Formation (HIGH SCHOOL, faculty, year of the termination) *
Speciality/subject of teaching *
Scientific degree, academic status *
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Department *
Work on the dissertation (whether dissertational work is executed, a cord the termination is planned) *
Publish scientific works at the moment of application (transfer is added) *
Нагрождения, differences (year ofнагрождения) *
Membership in scientific organizations, specialized associations (including foreign) *
Hobbies *
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