The endorsement request form should contain between 1,200 and 1,500 words and must be submitted prior to the specified deadline.
*Mandatory questions

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1. Professional Title (Required.)

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2. First Name (Required.)

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3. Last Name (Required.)

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4. Institution- Department (Required.)

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5. Name of Head of Department (Required.)

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6. Professional Cit (Required.)

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7. Professional country (Required.)

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8. Email (Required.)

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9. ESAIC membership ID (applicant must be an ESAIC member): (Required.)

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10. Are you part of any ESAIC committee (Required.)

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11. Is this study currently endorsed by any other association/hospital? (Required.)

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12. Do you have any conflict of interest with any of the ESAIC Research Committee members (Required.)

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