Each Institution that wishes to apply for Membership in DIGICORE-EEIG must fill-out the DIGICORE Application Form

Prior to filling in this form, the Applicant Institution shall verify that it meets the relevant requirements for membership set forth in the DIGICORE-EEIG Statute , and that it agrees to comply with the rules outlined in the DIGICORE-EEIG Statute.

1. Fill in the form (page 3-4 below) as clear and legible as possible. Once completed, please make a copy of the document and preserve it for your own records. The original signed form must be sent to:

   Tony Thomas
   C/o Fondation Universitaire,
   Rue d'Egmont 1000,
   Brussels - Belgium

2. Please send an electronic copy of the signed form to tony@digicore-cancer.eu along with a copy of the Statute of the cancer centre/institute/organisation/company