Name
    (In Capital Letter)

    Date of Birth

    Medical Registration Number

    State

    Speciality of practise

    Passing Year

    Address

    Phone

    Mobile

    Email

    Educational Qualifications

    Secondary

    Degree

    PG Degree

    Diploma

    Others

    Training

    Training

    Institutional Affiliation

    Chamber

    Membership subscription
    Type of Membership Founder Member Life Member
    General Member Rs 5000 Rs 7500
    Foreign Member $ 200 $ 300
    Senior Member Rs 3000 Rs 4500
    Associate Member Rs 4500 Rs 6000

    Eligibility Criteria

    Members

    Any Doctor who has passed MBBS and has done Post Graduation in specialties like Dermatology,Plastic Surgery, Dentistry, Otolaryngology etc and is engaged in Aesthetic Practice for at least one year or have a Post Graduate Training in Aestheics and is practicing in this field for at least five years is eligible to be a member subject to the approval of the Board and the Membership Committee.

    Foreign Members

    A Doctor of any country residing in India or outside who has passed the Basic Medical Degree eg MBBS and has done Post Graduation in specialties like Dermatology Plastic Surgery Dentistry Otolaryngology etc and is engaged in Aesthetic Practice for at least one year or have a Post Graduate Training in Aestheics and is practicing in this field for at least five years is eligible to be a member subject to the approval of the Board and the Membership Committee.

    Senior Member

    Any Doctor who has passed MBBS and has done Post Graduation in specialties like Dermatology Plastic Surgery Dentistry Otolaryngology etc and is engaged in Aesthetic Practice is eligible to be a member subject to the approval of the Board and the Membership Committee.

    Associate Member

    Any Registered Doctor from any speciality other than those mentioned above and is practicing in this field since at least five years is eligible to be a member subject to the approval of the Board and the Membership Committee Associate Members shall avail all the facilities of the organization but shall not have any voting right.