Membership

Name*

Surname*

Title (e.g. MD, Engr., RN, Prof.,Industrial hygienist):*

Highest Educational Attainment:*

Address*

City*

Country*

E-Mail*

Alternative Email Address:*

Contact Number*

Affiliation/Organization:*

City and Country where Organization is located:*

Position in Organization (e.g., Manager,Occupational Doctor):*

ICOH member?*

Please indicate your planned contributions to MINOSH.*

*Every field of the form must be filled in

ICOH membership

MinOSH is one of the scientific committees belonging to the International Commission of Occupational Health (ICOH). Do you also want to become an ICOH member?