Membership Application Person Data Salutation * - Select -Mr.Ms.Mrs. Academic title(s) - Select -Prof.Dr.Prof.Dr.Prof.Dr.Dr.Assoc.Prof.OA Dr.PD Dr.Doz. Dr.Dipl.Phys. First name * Last name * Date of birth * Gender * - Select -MaleFemale Phone number * Mobile number Address Street * ZIP * City * Country * - Select a country -AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEurozoneFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé & PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited NationsUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabwe Profession Profession * - Select -RadiologistResident RadiologyPhysicianPhysicistRadiation TherapistRadiographerResident OtherSurgeonOncologistNuclear Medicine PhysicianOther (please specify) Please specify * Place of Work Place of work * - Select -University HospitalPublic HospitalPrivate HospitalPrivate PracticeResearch InstituteCommercial CompanyOther (please specify)None Please specify * Hospital Department Oncologic Imaging InvolvementPlease indicate the field(s) of Oncologic Imaging you are currently involved in (tick all that apply) CNS CNS Genital tract Genital tract Gastrointestinal tract Gastrointestinal tract Lung Lung Head & neck Head & neck Bone / soft tissue Bone / soft tissue Urinary tract Urinary tract Abdominal solid viscera Abdominal solid viscera Breast Breast Lymphoma / haematological malignancies Lymphoma / haematological malignancies Paediatric Paediatric Interventional oncology Interventional oncology Personal ESOI LoginThese login details will be necessary to enter the ESOI Member Area where members can access their membership certificates, confirmation of payments, restricted content such as webinars and more. Email * Retype email address * Password * Retype password * Email Settings I agree to receive ESOI news, newsletters and information about scientific/educational events and product developments related to the field of oncologic imaging. Terms & Conditions * I have read and accept the Terms & Conditions of membership to the European Society of Oncologic Imaging. Statutes * I have read and accept the statutes of the European Society of Oncologic Imaging. Bot Check * Validate Email
