IAGES Logo
JOIN   IAGES

President

Dr. Ramen Gyanendra Goel

098201 70763

ramengoel@gmail.com

Hon. Secretary

Hon. Treasurer

Dr. Satyapriya De Sarkar

098300 28535

spdesarkar@yahoo.com

APPLICATION FOR IAGES MEMBERSHIP

Please Pay Rs.8260 ( Registration Fees Rs.7000 + 18% GST ) as Membership fees**. After submitting this form, you will be directed with Payment gateway and on successful completion, your registration will be automatically accepted.
Incase of Payment failure, Click here and perform Repay
Membership Number will be given to members after successful completion of payment and it will be given in 2 weeks from Honorary Secretary's Office.



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*
















Academic Qualification*

Academic Qualification Year University/Institution Country State Medical Registration No


Training In Endoscopic Surgery/Procedures*

Institution From(Date) Duration Teacher


Appointments/Experience*

Designation From Institution To


Sponsors*

Name IAGES Membership No.


Membership Of Other Associations/Societies*

Association/Society Membership No.
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 Indian Association of Gastrointestinal Endo-Surgeons,





* Scanned Copies of only Original Documents will be accepted.

* : * : * :
* : * : * :

Documents will not be changed after submitting once.

Back to Top