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Welcome to the registration form for the Society of Epidemiology and Mathematical Modeling!

Any natural person, professional in the field of epidemiology or mathematical modeling who voluntarily wishes to become a member of the Society of Epidemiology and Mathematical Modeling and so informs the organization by completing the registration form, either physically or digitized, may be a member of the Society of Epidemiology and Mathematical Modeling. This form will be validated by the Board of Directors and once approved, the membership will be activated upon payment of the annual fee.

Please complete the following information to become a member of our society:

First Name:

Segundo Apellido

Primer Apellido

Fecha de nacimiento

Cédula de identidad personal

Título universitario obtenido (Profesión)

Especialidad (si procede)

Número de registro sanitario (Solo si eres médico)

Institución donde labora

Cargo

País de residencia

Provincia / Ciudad

Teléfono

Breve descripción de su experiencia en epidemiología y/o modelaje matemático:

Declaration: I confirm that during the year for which I am applying for membership of the SOCIETY FOR EPIDEMIOLOGY AND MATHEMATICAL MODELING, I will spend more than 60% of my time in the country I have indicated on my application form.

Thank you for your interest in becoming a member of our society. We look forward to having you soon as part of our epidemiology and mathematical modeling community.

Join Us

Please complete the following information to become a member of our society:

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