UzTEA Membership Form

Personal
Info

Professional
Details

Interests &
Engagement

Preferences
& Consents

Payment

Step 1 of 5

Personal Information

Full name* This field is required.

Gender This field is required.

Date of birth This field is required.

Nationality* This field is required.

Phone number* This field is required.

Email* This field is required.

Country* This field is required.

Region / City* This field is required.

Address This field is required.

Professional Background

Position* This field is required.

Institution name* This field is required.

Institution type* This field is required.

Experience* This field is required.

Subjects This field is required.

Levels This field is required.

Interests & Engagement

Membership type*

Student / Early Career / Retired Discounted 206,000 UZS 1 member Individual Teacher Popular 412,000 UZS 1 member Institutional Membership Team 2,000,000 UZS 4 members

This field is required.

Areas of Professional Interest This field is required.

Would you like to join a SIG (Special Interest Group)? This field is required.

SIG Areas of Interest This field is required.

How would you like to contribute to UzTEA? This field is required.

Have you previously participated in UzTEA activities? This field is required.

Participation Details This field is required.

Preferences & Consents

Payment

Currently only UzCard and Humo cards are supported. Visa / Mastercard coming soon.

Membership Form

Personal Information

Professional Background

Interests & Engagement

Preferences & Consents

Payment

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