Requirements & Registration Form

New Member Registration Form

NAME:

SURNAME:

NATIONALITY:

DATE OF BIRTH

POSTAL ADDRESS:

EMAIL:

PHONE:

OCCUPATION:

STUDIES:

FOREIGN LANGUAGES:

Please approve my registration as a member of the Greek Section of the Blue Shield. I enclose a relevant CV and I declare responsibly the following:

1. My application is supported by the following two members of the Hellenic Section of the Blue Shield:

2. I have become aware of the Rules and Principles of the International Blue Shield which I support and accept.

3. In case of change of my e-mail address, I am obliged to inform you via e-mail.

Attachments: Curriculum Vitae