Online Membership Form: Doctors

DEMOGRAPHICS


Male    Female

ACADEMIC QUALIFICATIONS

SLEEP MEDICINE

Eligibility criteria for Membership:

  • A doctor who is a MD/DNB in Respiratory Medicine from any University in South East Asian part of the globe
  • A Doctor who is MD/DNB in general medicine, E.N.T or neurology and also practices sleep medicine.
  • A doctor who is a Physician working and practicing in sleep medicine
  • Dentists who are interested in sleep medicine

I agree to make a payment of 5000 INR for the lifetime membership
SEAASM accepts payments in mode of Online Bank Transfers (IMPS,NEFT), DD

Company Name  :  South East Asian Regional Academy of Sleep Medicine
Account No   :  010588700000116
IFSC CODE   :  YESB0000105
Bank Name   :  Yes Bank

Branch Address  :  Ground Floor, SCO 25, Vidhi Plaza, Sec 14, Huda Market, Gurgaon 122001


IMPS/NEFT
Demand Draft