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REGISTRATION FORM

INDIAN ASSOCIATION OF AESTHETIC PLASTIC SURGEONS
(Registration No. S - 28468 of 1995 at New Delhi)
 

 

NAME
AGE. Yrs.
DATE OF BIRTH
SEX : M / F
Date of Marriage
ADDRESS Residence
ADDRESS Office / Clinic
CITY
Pin.Code
STATE
COUNTRY

PHONE

e-mail ID

ACADEMIC QUALIFICATIONS : *  
DEGREE INSTITUTION YEAR OF PASSING
TRAINING : * INSTITUTION DURATION & DATES

a. Basic Plastic Surgery :

b. Aesthetic Plastic Surgery :
TEACHING EXPERIENCE : * INSTITUTION DURATION & DATES

a. Undergraduate :

b. Postgraduate :
   
EXPERIENCE IN AESTHETIC PLASTIC SURGERY Yrs.
WORK IN AESTHETIC PLASTIC SURGERY AS PERCENTAGE OF TOTAL WORK IN PLASTIC SURGERY: %.
PUBLICATIONS ON AESTHETIC PLASTIC SURGERY IN INDEXED / NON INDEXED JOURNALS.
PAPERS PRESENTED ON AESTHETIC PLASTIC SURGERY IN CONFERENCES.
MEMBERSHIPS / FELLOWSHIPS
ASSOCIATION FULL / ASSO. LIFE/ ANNUAL REG. NUMBERS.

A.S.I.

A.P.S.I.

OTHERS :

   


DECLARATION :-I here by declare that the information given above is true. I have furnished requisite proof as and where desired. I take oath to abide to the constitution and by-laws of the "Indian Association of Aesthetic Plastic Surgeons"( I A A P S ) .

Rules and regulations for Full / Life membership :

  • The candidate should be in possession of recognized degree / training in basic Plastic surgery.
  • Should have training in Aesthetic Plastic surgery / have recognized work in the field of Aesthetic Plastic Surgery / presentations and or publications / other academic contributions in the field of Aesthetic Plastic Surgery.
  • Should be a member of A P S I (Association of Plastic Surgeons of India).
  • The candidate should be proposed and seconded by full / life members of the I A A P S (Indian Association of Aesthetic Plastic Surgeons).
  • The executive body of the I A A P S , shall process the application and notify the decision to the applicant.

Membership Fee ;

Full Annual Member Rs. 500/-

Associate Annual Member Rs. 500/-

Life Member Rs. 5000/-

Honorary Member – People of outstanding contributions to Aesthetic Surgery will be selected as honorary members by the executive and approved by the general body. They will not be able to participate in elections and will not be able to hold any office.

Admission fee will be Rs. 2,500/- except Life & Honorary Members.
7 Please send Draft of Rs. 5000/- in the name of IAAPS paid at New Delhi, along with the application as life membership fee.. All The applications are put in front of credential committee for approval which normally meets once every year.

Kindly send the completed membership form to: -
Secreteriat:

DR ANUP DHIR
101 ANSAL TOWER
38 NEHRU PLACE
NEW DELHI-110019
Tel. +919312377554, +911126438044
dranupdhir@hotmail.com
 

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