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.