ISTM | Member Registration

Please do not use any special charcters in any field except @ in email field

Title *

First Name *

Middle Name

Last Name *

Postal Address *

Photograph (Image Format Only)

City *

State *

Zone *

Pin *

Office Tel. No.

Residence

Mobile No. *

E-Mail *

Date of birth *

Nationality.

Gender *

MBBS *

DCP/DIBT

MD/DNB

Working in Blood Centre/Immunohematology *

Professional positions held

Training / experience obtained in Transfusion Medicine (in India / Abroad)

Additional Information (Publications, Honours etc.)

LIFE MEMBER subscription:

Rs. 5,000/-

Note: Payment for online membership registration once made will not be refunded.

ISTM Online Registration