Membership Form

/Membership Form
Membership Form 2018-06-16T16:13:31+00:00

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.