New member request
Main User Information
(Information about you)
This includes information about the Main User that will be accessible exclusively for the Main User himself/herself and for HCP services.
Name: Your name. You don’t need to write your full name.
Job Title: Your job title (e.g., Director).
Department: The organization’s department that you belong to.
Office phone: Your office phone, including country/regional codes and extension, if applicable.
Mobile phone: Your mobile phone number, including country code.
E-mail: Your e-mail address.
Password: Create your own password here (minimum 6 characters).
Confirm password: Confirm your password here, by typing it again.
Institution Information
(Information about your organization)
This includes general information about the organization, all of which will be fully available to the site’s visitors.
* The information that you insert in these fields will be made publicly available.
The name of your organization *: Enter the name of the organization which employs you, or which is your main affiliation. Do not enter the name of your "parent organization”.
Your organization’s mailing address *:The mailing address of your organization (headquarters or other).
Postal code *: The postal code of your organization.
City *: The city of your organization.
Country *: Select the country of your organization from the drop-down list.
Website *: The website of your organization.
Second contact person *: The name of the person in your organization that a visitor (general public) may contact for any generic query or feedback about your organization.
Second contact person’s e-mail *: The contact person’s e-mail address.
Telephone *: The contact person’s telephone, including country/regional codes and extension, if applicable.
Category *: Select from the drop down list the category which best describes your organization.
Brief description of your organization *: Brief description of your organization. Please note that:
- description should be kept short;
- wording should be in 3rd person (the use of expressions such as "we are”, "we provide”, etc. will not be accepted);
- the description must be factual and unbiased;
- commercial or advertising contents will not be accepted.