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WAME eLearning Program Learner Registration Form

First Name : *

Last Name : *

Email : *

Country of residence : *

Affiliation (name of journal or other affiliation) : *

Role (position at journal or other role) : *
Editor-in-Chief
Decision-making Editor, not Editor-in-Chief
Other journal role, not decision-making editor
Scholar (published in journal-related issues)
Researcher

Other :

Years in role : *

Advanced degree(s) : *
MD, MBBS, or equivalent
Other professional medical degree (eg, RN, DVM)
PhD, DSc, or equivalent
Other advanced degree :

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