Life Membership Registration This membership is for Neurologists who wish to be part of the Society of Neurosonology. Name: Date of Birth: Phone No: Email: Designation: Working Place: Neurologist Specialization: Upload Degree Certification (PDF, JPG, PNG – Max 2MB): Address: Medical Council Number: Membership Type: Life Member – 3000 INR Mode of Payment: UPIBank Transfer Bank Account Details: ACC No: 50100078103512 Account Name: Society of Neurosonology IFSC: HDFC0000890 Upload Payment Screenshot (PDF, JPG, PNG – Max 2MB): Transaction ID: Additional Notes: I agree to the Terms & Conditions Terms & Conditions: By submitting this form, I confirm that the provided information is accurate. I agree to abide by the membership policies of the Society of Neurosonology. The membership fee is non-refundable. In case of any discrepancy, the Society reserves the right to verify and reject the application if necessary.
