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Please take a few moments to complete this 'Proposal form'. We will contact you as soon as possible. Please note that SHASTD members must be working as Health Advisers in a UK or Ireland GUM clinic. Becoming a member of SHASTD means that you also are a member of the parent body, amicus MSF. This entitles you to support and advice on industrial relations matters. It gives you professional liability insurance, as well as all the professional support and information provided by SHASTD.

Our Membership Secretary is Vincent Lawlor, Whipps Cross Hospital, London.

Full name
Proposed by
Seconded by
Home Address
Telephone number
Work Address
Work telephone number
Job title
Date started
Salary scale
Previous relevant work experience
Any comments or question
Your e-mail address


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           postal address: SHASTD, MSF Centre, 33-37 Moreland Street, London, EC1V 8HA.                      

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