Annual Scientific Meeting – 2009 New York
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  • Membership Type *:
  • Surgeon membershipSurgeon membership: Rs. 25000/-
    Surgeon practicing or committed to Obesity Surgery can apply for Full membership.
    The Life member will include complementary membership of IFSO (International Federation for Surgery of Obesity).
    Subscription Fee for Obesity Journal :Rs.7000 (to be paid separately every year (Optional)
    Members will have a reduced fee for registration at the Annual congress of OSSI & World Congress of IFSO. The full member will have voting rights.
    This member will have voting rights and attend the annual general body meetings.
    Affiliated MembershipAffiliated Membership of OSSI: Rs. 5000/-
    Physician Specialist i.e. Endocrinologist, Diabetologist, Radiologist, Pulmonologist, Bariatric Physician, Cosmetic surgeon etc, and Para-medical person i.e. Nutritionist, Psychologist, Physical Trainer, Researcher, etc. can submit the application for Affiliate membership.
    The Affiliated member will have a reduced fee for registration for the annual congress of OSSI.
    This member will have no voting rights.
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CURRENT INSTITUTION

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RESIDENCE ADDRESS

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ACADEMIC QUALIFICATIONS :*

  • Name of Degree
    Institution
    From [Year]
    To [Year]
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NATURE OF INVOLVEMENT IN BARIATRIC SURGERY :*

  • Others (Specify):
  • Number of Years :

BARIATRIC TRAINING:*

  • Name & Place of Institution
    Duration[Year/Month]
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EXPERIENCE IN BARIATRIC SURGERY :*

  • Designation
    Institution
    From [Year]
    To [Year]
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BARIATRIC PROCEDURES PERFORMED / INVOLVED:*

  • Procedures Number
  • Adjustable Gastric Banding (LAGB) : Open / Lap:
  • Sleeve Gastrectomy(LSG) : Open / Lap:
  • Roux-en-Y Gastric Bypass (RYGBP) : Open / Lap:
  • Bilio-pancreatic Diversion (BPD) : Open / Lap:
  • Mini Gastric Bypass (MGP) : Open / Lap:
Others (Specify):
Others (Specify):
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Open / Lap:


  • Revision Bariatric Surgery : Open / Lap:

MEMBERSHIP OF OTHER PROFESSIONAL ASSOCIATIONS / SOCIETIES *

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SPONSORS

SPONSORS 1
Name
OSSI Membership No.
Institution:
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SPONSORS 2
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OSSI Membership No.
Institution:
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ENCLOSED DOCUMENTS*

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  • Curriculum Vitae :

[Note: Academic Qualification , Registration Certificate & Curriculum Vitae - Please upload doc, pdf, docx format only]

PROFILE PICTURE*

Professional Photograph :

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PAYMENT GATEWAY

  • Membership Fees: INR
  • Would you like to enable "Obesity Surgery" Journal Subscription & IFSO Affiliate membership?
    (INR 7000 per annum):
Net Payable: INR
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