Full Name (Dr / Mr / Ms / Mrs) :
I agree to abide by the rule & regulation of Indian Society for The Study of Pain.
I wish to join INDIAN SOCIETY FOR THE STUDY OF PAIN as life member/Associate Member and enclose Cheque / D.D.
(Drawn in favor of Indian Society for The Study of Pain ) towards subscription for the life Membership
✓ Life Membership Fees: Within India: Rs 5000/-
Outside India: US $ 250
✓ Associate Membership Fees: Within India: Rs 3500/-
Outside India US$ 150
✓ P.S. Outstation Cheque should be accompanied by Rs.100/- extra as bank charges.
✓ Send two passport size photographs for I card.
✓ Cheque / AD in favour of "Indian Society for The Study of Pain" payable at Hyderabad.