Join Us Join Us! Personal Data:Full Name *City of Residence *Country *Phone NumberEmail Address *PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameMiddle NameLast NameProfessional Information:Profession / Medical Specialty *Institution / Clinic *Current Position *Areas of Professional Interest *Professional Memberships (if applicable) *Involvement in the Romanian medical community in the diaspora *Motivation for joining SMRD *Desired Membership Type (associate / honorary / volunteer)Choose the type of membershipassociatehonoraryvolunteerGDPR Consent (Personal Data Processing) *By completing and submitting this form, I declare that I agree to the processing of my personal data by the Romanian Medical Society in the Diaspora (SMRD) for the purposes set out in the association’s statute.The data will be used exclusively for membership administration, professional communication, information regarding SMRD activities, event invitations, and scientific collaborations.SMRD will not transfer the data to third parties without the explicit consent of the data subject. The individual may withdraw consent at any time by sending an email to office.smrd@gmail.com. Final Declaration:By signing, I confirm the accuracy of the provided information and accept the SMRD membership conditions.Handwritten SignatureSign here using your finger or mouseYour browser does not support e-Signature field.Submit Application
