Associate Member application form Survey

1.Legal name of institution(Required.)

2.Form of legal entity of institution(Required.)

3.In which country is the institution established as a legal entity?

(Please note we are temporarily unable to process applications from institutions based in the Russian Federation, Belarus, Russian-occupied areas in Ukraine, or Iran.)(Required.)

4.Name of main contact person(Required.)

5.Main contact person's title/area of responsibility within institution(Required.)

6.Name of person within institution with authority to enter into contracts(Required.)

7.Job title of person with authority to enter into contracts(Required.)

8.Full postal address of the institution. Please include email address and phone number.(Required.)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

9.URL of website
(NB if you produce tests, please also provide URL of information / sample tests etc. relating to these tests)(Required.)

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Associate Member application form

Section 1 - Basic Information