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INDIAN ASSOCIATION OF SPORTS MEDICINE

AFFILIATED TO

FEDERATION INTERNATIONALE DE MEDICINE SPORTIVE (F.I.M.S.)

(REGISTERED UNDER THE SOCIETIES REGISTRATION ACT XXI OF 1860)

REG. NO. 72 OF 1972-73

 
Application for Life Membership
Name
Age and Sex
State by Birth
Domicile
Date of Birth Permatent Address
Address For Communication City
Pin Code Phone
E-mail Qualification
Achievement if any in Sports Membership of other Orgnanizations (Professionals/Sports/Other)
Payment Details
Cash/Cheque/Draft
Application Proposed By
Please attach a copy of your Diploma / Degree.
 
Note:

IASM offers only life membership.


Life membership fees are Rs. 2500/- payable to ‘IASM’ at New Delhi.



Applications must be with two stamp size photographs and should be sent to the address given below:


Dr. Meenu Dhingra
Treasurer
Indian association of Sports Medicine
58 Rail Vihar. Sector 30
Behind DPS School
Noida
+91-9968260845

Dr. Shweta Shenoy
Secretary General
Faculty of Sports Medicine & Physiotherapy
Guru Nanak Dev University
Amritsar 143005
+91-9417311900, +91-183 -2258802-09


 

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