Membership Registration Form (Individual)

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※Please note that if you wish to register your company, you should use our corporate entity form.

Prefix

First Name *

Middle Name

Last Name *

Email Address *Email address that was previously approved cannot be used again for different users.

Phone *

Linkedin (or Website)

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code

Country *

Current Status *

Organization Name *

Job Position *

Regulatory related experience *

Consultancy/AdvisoryRepresentation/ManagementLegalLaboratoryRegulatory policyRegulations governance and enforcementRegulatory complianceStandards developmentConformity assessmentResearch and DevelopmentEHS ManagementPurchaseIT/SoftwareOthers

Experience in the Regulatory Field *

Area(s) of Expertise *

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Applicants applying for student membership are required to attach documents proving their student status.

How did you find out about RRMA? *

Reference

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Kindly note that the submission of the application does not grant the membership rather it will be evaluated by the RRMA committee which will conclude the decision of the membership application.

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