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  18. By clicking below, you certify that any information you have provided on this form is true and accurate to the best of your knowledge, and you understand that the Semmelweis Society International will keep this information confidential.
  19. Please note that your application will not be active until SSI receives your $125 processing fee. If you have questions about the application or process, please call SSI at (423) 546-4145.
 

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