Training Centres

Institutes offering training programmes

in Laparoscopic Surgery

APPLICATION FOR MEMBERSHIP

To,

The Hony Secretary IAGES

Dear Sir,

I wish to apply for active / student / associate / international / corporate

membership of the IAGES.

Personal Particulars (in block Letters)


- *Marked fields are Mandatory

  • *Name AS in degree certificate
  • *No along with STD code

Academic Qualification *

Training In Endoscopic Surgery/Procedures *

Appointments/Experience *

Sponsors *

Membership Of Other Associations/Societies *

I, hereby certify that the above information is correct to the best of my knowledge and I agree to Abide by rules and bye-laws Of the India Association of Gastrointestinal Endo-Surgeons,

  • * Kindly upload jpeg or jpg format
  • * Kindly upload jpeg or jpg format
  • Fill Captcha verification
Kindly send Demand Draft Rs 7000 Drawn in favour of Iages-mumbai payable at Mumbai
send your DD to following address - Dr. Sayandev DasGupta(Mobile : 09830030390), Hon Secretary IAGES, 107 Ballygunge Gardens, Kolkata - 700029.