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.
(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.