SOCIETY OF INDIAN NEUROSCIENCE NURSES (SINN)

Application for membership

Make sure that scanned copies of the following are available in the computer ready for uploading.
Profile photograph-jpg/jpeg/png image(Optional), Nursing registration certificate-DOC/DOCX/PDF(mandatory), Highest Professional qualification certificate-DOC/DOCX/PDF( mandatory), Neuro experience certificate-DOC/DOCX/PDF Maximum size: 500 KB ( mandatory for life membership)

Salutation *

Name *

Email *

Mobile *

Office Address *

Contact address *

State *

City *

RNRM Number *

NUID Number

Professional Qualification *

Designation *

Total years of experience (in neuro units) *

Experience in specific areas *

Neurology

Neuro OT

Neurosurgery

Neuroradiology

Details of membership in any other association

Address of institutions from where qualifications obtained *

Password *

Confirm password *

Membership Type *

Profile photo

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Nursing registration *

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Supported formats: DOC, DOCX, PDF Maximum size: 500 KB

Highest qualification certificate *

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Supported formats: DOC, DOCX, PDF Maximum size: 500 KB

Neuro experience certificate *

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Supported formats: DOC, DOCX, PDF Maximum size: 500 KB

Specialisation/Diploma Certificate

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Supported formats: DOC, DOCX, PDF Maximum size: 500 KB