Application for JCTLM Membership

Please complete the form below if you wish to apply for membership.

Information on the type of JCTLM participation is available in Appendix 5 of the Declaration of Cooperation : JCTLM.

For any question, please contact the JCTLM Secretariat (jctlm@bipm.org)

Information on the Organization
Official name of the Organization*
Organization
Acronym of the Organization*
Acronym
Address of the Organization*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website address*
website
Nature of the Organization*
nature
Contact information

All mail and email correspondences from JCTLM will be sent to the following contact person(s)
Contact person
Name*

PrefixFirst NameLast Name
Position within the organization*
Position
E-mail*
E-Mail
Phone number*
Other contact person
Name

PrefixFirst NameLast Name
Position within the organization
Position
E-mail
E-Mail
Phone number
Description of your Organization
Please describe the aims and subject fields of your Organization*
aims and subject fields
Please provide a summary of the activities being undertaken by your organization to reduce the between method variability in laboratory medicine measurements*
summary of activities
Please describe any previous interaction/support of the JCTLM*
previous interaction/support of the JCTLM
Please list the organization(s) you are member of
organization(s) you are member of
Please list your affiliated members
affiliated members
Please select the membership being sought*
JCTLM Membership
Please upload any relevant document

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