Certificate for Associate Membership

I certify that _______________________________is a graduate student or


postdoctoral fellow in my program since___________________________.


The applicant is expected to complete his/her training program by _____________.


Name of Training Director (please print)

_________________________________________________________

Signature of Training Director

_________________________________________________________


____________________

Telephone Number

__________________

Date

__________________



This Associate membership certificate must be completed and sent with a cheque made payable to ISCGT to;
Professor Farzin Farzaneh
International Society for Cancer Gene Therapy
School of Medicine at Guy's, King's College and St Thomas' Hospitals
Rayne Institute
123 Coldharbour Lane
London
SE5 9NU