Online Application

Please register by filling the form below

* Mandatory fields

Personal Details *

Prof. Dr. Ms. Mr.
Family name :
Given name :
Nationality :
Contact Number :
Email address :
Postal address :
Zip code :
City :
Country :

Professional Qualification *

Position :
Hospital/Practise/Institute :
Specialty / Subspecialty :
(e.g. Orthopaedics : Knee)
Area of Interest :

Educational Details (Optional)

M.D./Ph.D./Where, when :
University Degree :
Training Received :
 

Note:

1. Membership application form is also available in Word format, please click here to download.

2. Your membership will be confirmed only after successful payment of membership fee. Applicants without the above-stated qualification may become our membership subject to the approval of the Board of Directors. Please contact the administrative office (info@apkass.org) should you have any question.