User account creation

Please fill the form below to register your REIMS account. Required fields are marked with *

NOTE: ENTER A VALID EMAIL ADDRESS TO RECEIVE ACCOUNT ACTIVATION LINK AND OTHER COMMUNICATION FROM THE RESEARCH ETHICS COMMITTEE
First Name *   Last Name *
Middle Name   Phone (Mobile) *
Title *

  Institution *
Username  *   Email *
Password  *   Photo
Re-enter Password  *   Nationality *
Role *