Membership

APSA

APSA (Anaesthesia Patient Safety Association) is committed to advancing patient safety standards in anaesthesia practice across India.

Join Today

LIFETIME Membership - Regular Category

Full Name (as on Aadhaar) *

DOB *

Age

Gender *

Speciality *

Sub-Speciality 1

Sub-Speciality 2

Others

Registration State / Number *

Current Designation *

Place of Work *

House No. / Street *

Area / Locality

Pincode/Zip Code *

City *

State

Country *

Phone Number *

Email *

Reference 1 *

Reference 2

Degree Certificate *

Passport Size Photo *

Go To Top