Online Application Form For RSACP Membership

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Name and Membership No. of Two Referees

Name
Membership No.
Name
Membership No.


Life Membership Fee

INDIA SAARC OTHERS
Rs. 5000/- (Add US$30 for Air Mail)
US$400/-
US$800/-

Drawn in favour of:

"RSACP - Research Society of Anaesthesiology Clinical Pharmacology" - payable at Rohtak, Haryana.

Mail Transfer:

Account No. 2057101016675 of "RSACP - Research Society of Anaesthesiology Clinical Pharmacology", Canara Bank, Outer Quilla Road Branch, Rohtak, Haryana, IFSC Code: CNRB 0002057

Mode Of Payment
Amount
Bank Name
Date
Dr. NAVEEN MALHOTRA
Secretary RSACP National
Address:#128/19, Naveen Niketan, Doctors Lane,Near Civil Hospital,Rohtak-124001, Haryana. India
Phone: +91-9812091051 , E-mail:drnaveenmalhotra@yahoo.co.in

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