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CONSULTA ANCHE:
www.anmco.it/ita/attivita/aree/emergenza
HOW TO BECOME A MEMBER OF THE WORKING GROUP
OF THE EUROPEAN SOCIETY OF CARDIOLOGY
Application should be sent to the ESC Office for Working Groups and Councils at
the European Heart House (Email: blefevre@escardio.org) accompanied by a
written statement from two members of the Working Group as to the qualifica-
tions of the applicant plus a copy of the applicant’s Curriculum Vitae, including
a list of 3 most recent papers dealing with the topic.
APPLICATION FORM FOR MEMBERSHIP
TO THE WORKING GROUP ON ACUTE CARDIAC CARE
EUROPEAN SOCIETY OF CARDIOLOGY
TITLE FAMILY NAME GIVEN NAMES
…………………………………………………………………………………………………………………………………………
INSTITUTION: …………………………………………………………………………………………………………………
ADDRESS: ………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
Telephone N°: ………………………………………… Fax N°: ……………………………………………………
e-mail:………………………………………………………………………………………………………………………………
Names and addresses of two (2) members of Working Groups who support your
application:
NAME: ……………………………………………………………………………………………………………………………
ADDRESS: ………………………………………………………………………………………………………………………
NAME: ……………………………………………………………………………………………………………………………
ADDRESS: ………………………………………………………………………………………………………………………
PLEASE ATTACH A ONE-PAGE CURRICULUM VITAE WITH LETTERS FROM YOUR SUPPORTERS
P.S. A list of 3 most recent papers published in peer reviewed journals must be included (co-
authorship accepted).
Il presente Form e il resto della documentazione richiesta possono essere spediti al seguente indirizzo:
Office for Working Groups, Councils and Board Committees European Heart House
ESC - 2035 route des Colles, Les Templiers, BP 179, 0693 Sophia Antipolis Cedex, France
CARDIOLOGIA NEGLI OSPEDALI 19
