IASMED Membership Application

Welcome to IASMED Membership Application

Thank you for your interest in joining IASMED.
By becoming a member, you will gain access to exclusive resources, professional networking opportunities, events, and updates that support your growth and engagement in Clinical Research in Indonesia.

Please complete the form below with accurate and up-to-date information. All details provided will be kept confidential and used solely for membership administration purposes.

Once your application is submitted, our membership team will review it and contact you with further details on approval and next steps.

Membership Requirements:
1. Bachelor or diploma degree from medicine, pharmacy or related life science fields
2. Willing to participate in organization development and drug/biological trials in Indonesia
3. Approved by Executive Board

We look forward to welcoming you as part of our community!

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Email *
Member Status  *
Join Date (only for New Member)
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Full Name (including degree)
Institution
Job Title
Educational Background
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Email Address 1  (private email)
Email address 2  (office email)
Postal Mailing Address
Mobile Phone Number
Phone No. ( Office )
Phone No. ( Home )
Role (PI, Investigator, CRA, etc) (2)
GCP Certification Year
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