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    Name of the Young Minds Section:

    Parent Institution:

    Section E-mail address (if it has one):

    Section webpage (if any):

    Section Social Media (if any):

    Facebook:
    Instagram:
    Twitter:
     

    Section members:

    Faculty Advisor  
    Name:
    Surname:
     
    Membership number:
    E-mail address:
     
    President  
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Vice President  
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Treasurer  
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Secretary  
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       

    Further members:

    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       
    Name:
    Surname:
     
    Membership number:
    E-mail address:
       

    If you checked "Other" in the Member Society List, please, state which: