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Registration as member

This application form must be approved by the board of directors of AIM. Registration will only be effective after the payment of the annual dues (information for this payment to be made available soon).

Personal Data

* Required fields

Full name (as it should appear in the conference program, ex. LOPES, Fernando) *
Citacion Name *
(e.g., Ana Isabel Soares - SOARES, Ana Isabel)
Address (include zip code and city) *
Tax Identification Number: (in case you need a receipt of payment)
Phone (mobile preferred) *
E-mail *
Confirmation e-mail *
How did you learn about AIM?

Academic Data

Curriculum Vitae Online
(e.g., Platform DeGóis, Lattes Platform)
Research affilliation
Teaching affiliation
Degrees *
(Please list your academic degrees in chronological order, according to the following scheme: Degree, University, Date of Completion and Title of the thesis. Please list also ongoing degree.)
Areas of interest