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PERSONAL INFORMATION Title - None -MrMrsMissMsDrProfessorAssistant ProfessorProfessor DrProfessor SirSirDame First Name Surname Suffix Birth Date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Gender - Select -FemaleMaleUnspecified Job Title Nationality - None -BritishAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArgentina/USAArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling Islands)ColombiaComorosCongoCook IslandsCosta RicaCote D'Ivoire (Ivory Coast)Croatia (HrvatskaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicDutchDutch/CanadianEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreek - AustralianGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNepalese (British Asian)NetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaS. 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Sandwich Isls.Saint Kitts and NevisSaint LuciaSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScottishSenegalSerbiaSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUK/USAUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet NamVirgin Islands (British)Virgin Islands (US)Wallis and Futuna IslandsWelshWestern SaharaYemenYugoslaviaZaireZambiaZimbabwe Home address Street Address Street Address Line 2 Street Address Line 3 City / Town Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone - home Phone - work Phone - mobile Email - Primary Email - alternative WORK / STUDY INFORMATION Organisation / Work Address Your Organisation Organization Name Street Address City / Town State/Province Postal Code Orchid ID MORE ABOUT YOU The following information will help us find out about the make-up of the membership and your interests and concerns, thus enabling us to provide you with a better service. The information will be held on the Society’s database and will not be made available to third parties, although we may forward information to you on their behalf. To view our terms and conditions plus policies please go to https://www.immunology.org/about-us Career Focus Animal health Basic Research Clinical Clinical/Teaching Clinical Practice Clinical Research Clinical Scientist Editor – scientific or medical journals Intellectual Property and Technology Transfer Medical Medical/Scientific Communication Nursing Pharmaceutical Public Health Publishing Research Research/Teaching Science funding Science or medical writing Science Policy, Communication and Public Engagement Science Support / Admin (e.g. patenting, marketing, project management) Teaching Translational Research Other Workplace/Sector Biotechnology (Industry) Government Higher Education / University Medical Research Charities and Research Councils NHS Pharmaceutical (Industry) Publishing Research Institute Retired School and Further Education Other Industry Medical Student Work Grade - None -Assistant/Associate ProfessorBiomedical/Clinical ScientistConsultantEarly Career ResearcherGraduate Teaching Assistant/PhD studentJunior DoctorLecturerMasters StudentPrincipal InvestigatorProfessorReaderRegistrarResearch Assistant Postdoc Pay GradeResearch Associate/Fellow Senior LecturerTechnicianUndergraduateOther Areas of Interest/Expertise Antigen Presentation Autoimmunity Acute Phase Proteins Allergy Antibodies Apoptosis B Cells Bacteriology Cancer Immunotherapy Cell Signalling Chemokines Chemotaxis Clinical Immunology Comparative Immunology/Evolution Complement Co-stimulation Cytokines Cytotoxicity Dendritic Cells Diabetes Endothelial Cells Endotoxic shock Fungal Gene Regulation Gene Therapy Haematopoiesis Immunity of Infection Immunodeficiency Immunomodulation Inflammation Innate Immunity Lipopolysacharides Macrophages Microbiota Microscopy Molecular Immunology Mucosal Immunology Natural Killer Cells Neuroimmunology Pancreas Panomics Parasitology Phagocytes Reproductive Immunology Rheumatology Skin Spleen and Lymph Nodes Stem Cells Stromal Cells Structural Immunology T Cells Thymus Transgenesis Transplantation TSEs Tumour Immunology Vaccines Virology White Blood Cells Affinity Groups Autoimmunity Group Comparative & Veterinary Immunology Group Histocompatibility & Immunogenetics Group Infection & Immunity Group Inflammation Group Leukocyte Migration Group Lymphocyte Immunosenscence & Differentiation Immunometabolism Affinity Group Mathematical Modelling Group Mucosal Immunology Group Neuroimmunology Group Vaccine Immunology Group Regional Groups Aberdeen Immunology Group Bristol Immunology Group Cambridge Immunology Group East Anglia Immunology Group East Midlands Immunology Group Edinburgh Immunology Group London Immunology Group Manchester Immunology Group Merseyside Immunology Group North East Immunology Group Oxford Immunology Group South Wales Immunology Group Tayside Immunology Group Ulster Immunology Group Wessex Immunology Group West Midlands Immunology Group West of Scotland Immunology Group Yorkshire Immunology Group Interested in Public Engagement Yes No Contact me with further information Interested in Media Work Yes No Contact me with further information Interested in Policy Works Yes No Contact me with further information I wish to be included in the BSI members directory Yes No If you do not let us know your wishes we will assume you are happy to be included in the on-line directory. How Did You Hear About Us - None -Attended a BSI eventInternetMembership as part of coursePrevious memberPublicationRecommendation from SupervisorWord of mouth recommendationOther COMMUNICATION PREFERENCES I would like to receive a hard copy of Immunology News (UK members only) Yes No I would like to receive an online copy of Immunology News Yes No I do not wish to receive Immunology News Yes No I am happy to receive information on the work of the BSI including our news, journals and events Yes No I am happy to receive mailings from corporate and other organisations Yes No MEMBERSHIP Membership Type - Select -1 years Full Membership - £75.001 Year Post Graduate - £25.001 year Early Careers - £40.003 year Full Membership - £180.003 year Post Graduate - £60.003 year Early Careers - £95.005 year Full Membership - £300.005 year Early Careers - £160.00Concessionary - £20.00Undergraduate - £0.00Overseas-Low Income Economies - £0.00 Please note: Postgraduate memberships includes PhD, Masters. Early careers memberships includes scientists employed as post-doctoral researchers, for the first 5 years post-graduation. Concessionary includes Parental leave, Career Breaks, Retired, Emeritus Retired. All members applying for Low income economies membership must be a resident and citizen of one of the countries listed below: Liberia, Benin, Madagascar, Burkina Faso, Malawi, Burundi, Mali, Cambodia, Mozambique, Central African Republic, Nepal, Chad, Niger, Comoros, Rwanda, Democratic Republic of the Congo, Sierra Leone, Eritrea, Somalia, Ethiopia, South Sudan, Gambia, Tanzania, Guinea, Togo, Guinea-Bissau, Uganda, Haiti, Zimbabwe, Democratic People’s Republic of Korea. Download pricing schedule By completing this application you are agreeing to the British Society for Immunology terms and conditions and policies which can be found here - https://www.immunology.org/about-us Leave this field blank