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Auditorium, AIIMS, Nagpur
+91-9414-153-849
sybsindia18@gmail.com
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Society of Young Biomedical Scientists (SYBS)
SYBS India Membership Form
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Membership Form
Step 1: Personal Details
Name *
Father/Husband Name *
Date of Birth *
Male
Female
Gender *
Citizenship *
Designation *
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Email Address *
Mobile No *
Step 2: Communication Address
Address *
Step 3: Educational Details
Qualification UG *
Specialization (if any)
University / Institute
PG
Subject/Specialization *
University / Institute
PhD/DM/MCH
Subject/Super Specialization
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Step 4: Membership Details
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Others
Membership Segment *
Life Sciences
Health Sciences
Pharmaceutical Sciences
Other
Membership Category *
Faculty/Scientist (3000 INR)
Student/Researcher (1500 INR)
Others (3000 INR)
Lifetime Membership Fees *
Step 5: Payment details
Bank Name:
Punjab National Bank
A/C Name:
Society of Young Biomedical Scientists
A/C No:
6189000100050127
IFSC:
PUNB0618900
UPI ID:
9414153849m@pnb
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