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>> Online Membership Form
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Application for The Membership
(list of files you need to keep it ready before you fill up this form:
click here
)
Full Name*
Address*
State*
City*
Pincode*
Contact No*
Email Id*
Website
Hospital Attachments:*
Degree in Orthopaedics*
Year of Obtaining Degree*
Medical Council Name*
Membership No*
Has your council membership ever been revoked?
Yes
No
Orthopaedic Association membership:
Medical Council Name*
Membership No*
Percentage of annual Orthopaedics pratice devoted to Total Hip and Total Knee Arthroplasty (%)
Number of annual THR and TKR performed in the last year
Recommended By *
(type the name of the doctor without any prefix)
Upload Your Credentials:
Upload Your Photo*
Only JPG / PNG file format
Upload Your Current CV*
Only WORD / PDF file format
Upload Your Orthopaedics Degrees*
Only JPG / PNG / PDF file format
Upload Copy of Medical Council registration*
Only JPG / PNG / PDF file format
Submit
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