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Wednesday, May 14, 2008

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Last update: 10 - 03 - 2008

Dynamic Registration

Title:

please enter your name, i. e. Marina, Susan, etc.

First Name *:

Last Name *:

please select your specialization. If your specialization is not listed, please write it into the following

Discipline:

Discipline other:

Occupation:

Occupation other:

Please enter the legal name of your hospital or institution

Job Centre *:

Street *:

Postal Code *:

City *:

Country:

e-mail *:

please write the international code, i.e. +99-90-9999999 or 0099-90-99999999

Phone Number:

Fax:

WebSite:

i.e. (prenatal diagnosis of haemoglobinopathies/thalassaemias/ studies of congenital membrane defects, Iron, molucular biology studies of …… , etc.

Areas of Expertise *:

Please remenber your username and password

normally the name of the registering person. It should not exceed more than 10 characters; i.e. mustermann

Username *:

It is a combination of at least 6 characters necessary for log-in, i.e. hospital

Password *:

Confirm Password *:

For scientists only, fill in the reference data of your most recent publication.

i.e. Epidemiological Study on Thalassaemias in Tasmania

Article title:

1st Author:

Magazine:

Volume:

Pages:

Year:

LEGAL WARNING “By virtue of the Law 15/1999, of 13 of December, Protection of Personal Character data, we inform you that by means of the achievement of this Form your personal data will be stored within the files owned by the FUNDACIÓ CLÍNIC PER LA RECERCA BIOMÈDICA, with the unique objective to let you register and to take care of your request. Also, we inform you that you may exert, at any time, the rights of access, rectification, cancellation and opposition of your personal data by means of electronic mail directed to enerca@enerca.org or by means of a letter addressed to: Project ENERCA; Hospital Clínic I Provincial; Unit of Heritropatología; Villarroel street, nº 170, ESC. 4ª, 08036 Barcelona, Spain.”.