ICPHG Registration

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Professional Affiliations

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Conflicts of interest

In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the your membership of the ICPHG. “Related” means any relation with for-profit or not-for-profit third parties whose interests may be conflicting or indicate bias.
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Political affiliation, PEP Declaration

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Finalize Registration

@ic.woidmo.org (do not include the domain please)
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Please upload a profile picture of min 300x300px
I, the undersigned, declare that the information in this form is true, exact and complete, and I agree to notify you immediately of any modification to any of the information provided. I consent to the WoIDMo publishing my name, country, professional affiliations and picture on the ICPHG Member page. No other details from this form will be made public.