Join DFSI

DFSI Membership

Note : We are currently accepting membership applications from India. For International memberships kindly contact secretariat@dfsi.in.

Please keep a digital copy of your Photo, Degree Certificates, Signature, Aadhar Card & PAN Card (Format: JPG,PDF) ready.

Membership Registration

If you already a member please click here

Personal Details

Title *

Your Full Name *

Gender *

Present Designation *

Create your password *

Hospital / Clinic Details

Address

State

Pincode

Telephone (with National & Local STD code)

Landline

Residential Details

Residential Address *

State *

Pincode *

Phone number (with National & Local STD code) *

Landline

Email Address *

Medical Registration Details

Registration No *

Date of Registration *

State of Registration *

Tertiary / Higher Education

Institution

Qualification (Bachelor's Degree / Postgraduate Course)

Memberships of other professional organizations (if any)

Honours and Awards (if any)

Reasons for joining DFSI

We do diabetic foot work, hence desire to be a part of DFSI

Want to learn more about Diabetic Foot

As part of Conference Organizing Committee

Any Other

Documents

Upload Certificate (Format Type - jpeg,tiff,jpg,png,pdf,zip) *

Upload Photograph *

Upload your Signature *

Pan Card Number *

Upload Pan Card Photo *

Aadhar Card Number *

Upload Aadhar Card Photo *

Other Details

Are you a member of any other societies involved in the care of the diabetic foot ?

Yes No

Proposed by

Select Membership Plan

₹ 10,000/ (+ 18% GST)
# (Full Membership - 5 years duration) Full Membership - must have completed MBBS and registered in MCI.

₹ 5000/ (+ 18% GST)
^ (Associate Membership - 5 years duration) Associate Membership - All other paramedical members with registration in their respective National Councils

I hereby declare that all the Information submitted by me is true and I have read all the Terms and Conditions and accept to be contacted by DFSI regarding program and updates.