Membership Application printable pdf download

Asia-Pacific EPR/ESR Society

[APES]

Membership Application

/ Update

Form

Please complete in CAPITAL letters and 'print' style. Tick boxes / underline / encircle as appropriate.

_____________________________________

________________

Ms / Mr / Dr / A/Prof / Prof SURNAME:

INITIALS :

(OR full First/Given name)

_________________________________________________________________________________

DEPT./INST.:

AFFILIATION: ________________________________________________________________________________

ADDRESS1: __________________________________________________________________________________

ADDRESS2: __________________________________________________________________________________

CITY: ___________________________ STATE/CODE: _______________ COUNTRY: _______________________

FAX: _________________________________ Email: ______________________________________

(Please use small letters)

I am a Founding Member of the Asia-Pacific EPR/ESR Society

(participants at the Inaugural APES Meeting held at

YES

City University in Hong Kong during the 1

APES’97):

I would like to join the Asia-Pacific EPR/ESR Society as:

(R) Regular Member:

(P) Postdoctoral Member:

(S) Student Member:

(E)

(I)

Emeritus Member:

(A) Associate Member:

Institutional Member:

Other EPR-related Societies membership: IES, ISMAR, European Fed. of EPR Societies, National EPR Group:

_______________________________________________________________________________________

Directory of EPR/ESR Facilities - general information about your research group:

Head of the group: __________________________________________________________________________

Members: __________________________________________________________________________________

Research interests are in the applications of EPR/ESR in the following area(s) :

biology

life and medical sciences

chemistry

earth & environmental sciences

physics

materials science

theoretical foundations of EPR/ESR

computational aspects

others

: _____________________________________________________________________________

Spin systems mostly studied:

S=½

S≥1

Ions/Species:_______________________________________

Recent representative publications (up to 3): ______________________________________________________

____________________________________________________________________________________________

Available EPR spectrometer - Model/manufacturer : ________________________________________________

CW spectrometer: frequencies: ___________________ gaussmeter: _______________ freq. counter: ________

Maximum B [T]: _______________ Min/Max T [K]: ____________ Variable T facility: ____________________

Pulsed spectrometer: EPR

; ENDOR

; ELDOR

: _______________________________

Goniometer:

Ancillary equipment: irradiation capabilities ; single crystal orientation ; freeze quench ; stop flow

EPR computer simulation software (capabilities/functionality): ______________________________________

____________________________________________________________________________________________

Any other comments and suggestions

(please use the back side if necessary)

Membership Application

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