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1、附件6 国际标准化英文版中医教材外籍编写人员推荐表Appendix 6 Register Form for Foreign Editor or Translator of the Standard English Textbook of Chinese MedicineTitle of the textbook that you want to edit or translate:PLEASE FILL IN OR PRINT YOUR ANSWERS IN THE SPACE PROVDED BELOW EACH ITEM1.Surname2.First and Middle Names3.
2、SexMale Female4.Date of Birth (dd-mmm-yyyy)5.Nationality6.State/Province7.Mailing Address8.Postal Code9.E-mail10.Home Telephone Number11 .Business Phone Number12.Mobile/Cell Number13.Fax Number14.Name and Address of Present Employer or SchoolName: Address:15.Present OccupationLicensed Acupuncturist
3、TCM Physician Massagist Faculty of TCM or OM collegeScientific Researcher of TCM or OM Student of TCM or OM college16. Education Experience17. Professional Experience18. Sub-major of TCM or OM (i.e. acupuncture, fundamentals, internal medicine, surgery, O. B., herbs, etc.)19. Teaching Experience20.A
4、s an author or translator, which field do you most y concern about in TCM or OM?21.Have you ever written or edited any monographs of TCM or OM? If yes, please fill in the names and details about them.22.Which kinds of work do you intend to apply? (More than 2 choices allowed)Chinese-English Translat
5、or Chinese-English Editor English language EditorEnglish Editor on Chinese MedicinePlease specify:Note : 1.PMPH commit that all privacy of your personal data in the form will be kept secretly and only be used for the author and translator selection intention. 2. Please clarify your contact methods in item 7 to 13.