TARIPH Membership Form

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We are pleased to welcome you to be part of The Academic Respiratory Initiative for Pulmonary Health (TARIPH) family. Kindly fill in the information below so that we can understand your research interests.

For more information on TARIPH, please visit https://www.ntu.edu.sg/tariph.

Name *

Salutation *

Designation *

Institution *

Correspondence Address *

e.g. Clinical Sciences Building, Level 18-01, 11 Mandalay Road, Singapore 308232

Primary Correspondence Email Address *

Secondary Correspondence email address (Optional)

Primary Professional Group *

Medical Professional (Respiratory)

Medical Professional (Non-respiratory)

Primary Care

Academic

Industry

Public Agencies

Allied Health

Other:

If you are from the industry, please state industry e.g. Pharmaceutical, Bioengineering

What are your respiratory research interest(s)? *

You may pick more than one option, if applicable.

Clinical

Respiratory Intensive Care

Basic and translational sciences

Respiratory Physiology

Sleep Medicine

Airway Dieases

Epidemiology and Environment

Respiratory Infections

Interstitial Lung Diseases

Pulmonary Vascular Diseases

Other:

Required

What area(s) of TARIPH are you interested in? *

You may pick more than one option, if applicable.

Research Collaboration Workshops

Communication on potential Collaborative Research

Assistance with facilitation of collaboration for your projects

Networking events

Annual National and Biennial International Symposia

Required

If there are any other areas which you would like TARIPH to develop, please state below.

Thank you for taking the time to complete this form. For any queries, please contact TARIPH Secretariat at TARIPH@ntu.edu.sg

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