世界针灸学会联合会.doc

《世界针灸学会联合会.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、世界针灸学会联合会入会申请表格APPLICATIONFORMFORMEMBERSHIPOFWORLDFEDERATIONOFACUPUNCTURE-MOXIBUSTIONSOCIETIES秘书处专用Secretariatuseonly注册编号.:Reg.No.:收件日期:DateReceived:请填写此表并寄回到：Pleasecompletethisformandreturnitto:世界针联秘书处（中国北京崇文区夕照寺街东玖大厦B座7层，100061）WFASSecretariat（7thF

2、loor,BlockB,DongjiuBuilding,XizhaosiStreet,ChongwenDistrict,Beijing,China,100061）申请者名称：申请日期：申请者的相关情况InformationofApplicantOrganization学会名称(当地语言)Fullnameoftheorganization(locallanguageversion)英文名称EnglishNameoftheorganization:中文名称(IfPossible)ChineseNam

3、eoftheorganization:所属国家及地区Country/Region:创建日期Dateoffounding:机构注册情况或所属上级单位：Organizationregisteredwith/authorizedby:成员总人数TotalNumberofmembersintheorganization针灸、中医医师人数NumberofTCM/Acupuncturepractitioners获得针灸证书的西医医师人数NumberofWesternMedicineDoctorswithCe

4、rtificateofAcupuncture_____________________________________________________针灸师人数NumberofAcupuncturists其它与针灸有关的研究人员或学生人数NumberofOtherResearchersorStudentsrelatedwithAcupuncture负责人姓名NameofPresident任职期限Termofpost(YeartoYear)通信地址MailingAddress电话传真电子邮件Tel

5、:Fax:E-mail：联系人姓名NameofLiaisonPerson邮件地址MailingAddress电话传真电子邮件Tel:Fax:E-mail：永久通讯地址PermanentMailingAddressofOrganization电话传真电子邮件Tel:Fax:E-mail：网址：WebSite你们机构是否包括几个下属团体Isthereanysub-partiesofyoursociety?Yes□No□下属团体的名称Nameofthesub-parties日期签章DateSignat

6、ure申请单位的简史及开展针灸学术活动情况BriefIntroductiontotheHistoryandAcademicActivitiesRelatedtoAcupunctureoftheApplicantOrganization请附上一些必需文件的复印件：包括机构章程、注册证明和有关出版物Pleaseenclosethecopiesofnecessarydocumentsincludingconstitution,registrationcertificate,andpublication

7、s.