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SOTA membership form
To become a member of SOTA please complete the form below.
* Title:
* First Name:
* Surname:
* Date of Birth:
* GMC Number:
* Job Title:
* Which specialty or subspecialty associations are you are member of?:
* Expected completion date for training (month/ year)
* Correspondence
Address:
* Postcode:
* Email:
If you know two BASO ~ ACS full members then please give their names so they can sponsor your application or leave blank and the BASO ~ ACS National Committee member will sponsor your application.
* Please upload a copy of your up to date CV:
* Security question:
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