Centre International de Neurobiologie Appliquée selon Dr. Klinghardt
International Center for Applied Neurobiology according to Dr. Klinghardt
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Application Form

Member of the direction committee of the International Federation of Neurobiology


PRACTICAL INFORMATION
Name: Surname:
Address:
Phone: Fax:
E-mail: Profession:
Member of the national organisation from:

Cursus in the domain of the applied neurobiology:
Exercised function Organisation Date

Education followed in the domain of Dr. Klinghardt's method:
Name and level of the course
Organized by
Country
Date

POSTS TO PROVIDE

I am interested in a membership in the direction committee
I put myself up as responsible for the following key domain:
(choose what is right-multiple choice possible)
  Education Information and Communication
  Exams commission Ethics
  Research and Development Public Relations
  Products certification

For every chosen domain, the candidate needs to attach a document explaining his motivations for the post and also the ideas and projects which he proposes for the development of the I.F.N.

I am fluent in the following languages (starting with the one you have the best knowledge):