SOGUSAP | Society of Genito Urinary Surgeons of Andhra Pradesh

1 Applicant Information

Full Name (including Initials) *

Date of Birth *

Primary Email Address *

Mobile Number *

Professional Qualification *

A.P.M.C Number *

Membership Type *

Address for Communication *

Create Password *

Verify Password *

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Total Amount ₹ 5,000/- (Inclusive of GST)

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Account Name: SOCIETY OF GENITOURINARY SURGEONS

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Payment Screenshot *

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Latest Passport Photograph *

Recent clear formal passport photograph (JPEG/PNG format).

Degree Certificate (Soft Copy) *

Upload your highest medical degree qualification copy (PDF/JPEG format).