Indian Psychiatric Society
Fee Details :
Bank Details for NEFT & IMPS:For Name of Bank - ICICI Bank, Janta Colony, Jaipur Rajasthan | Account No - 675701140796 | Name - Indian Psychiatric Society | IFSC Code - ICIC0006757
Dr. Arvind BaradSenior Consultant Psychiatrist370/D1 3rd C Road Sardarpura, Jodhpur.Cell: 9413439188E-mail : drarvindbarad@gmail.com
IPS Membership Categories & Criteria : https://ipsraj.com/membership-rules/
Photo Upload :
Highest Degree : (.doc)
Transaction Details : (.jpg / .png / .pdf)
ID Proof : (.jpg / .png / .doc)
Letter From HOD : (.doc)
Transaction Details : (.jpg / .png)
Prefix Dr.Mr.Mrs.Ms.
Full Name in Block Letter
Date of Birth
Designation & Current Affiliation/Institute
Postal Address
Email ID
Contact Number
Qualifications (MBBS)
Professional Training (MD/DPM) if applicable
Professional Training (DM), if applicable
Proposed By
Seconded By
Additional Information (List Honours, Distinctions, Awards or any other Important Information)
Which Category of Membership are You Applying for? Life FellowLife Ordinary MemberLife Associate Member
I Solemnly Affirm That : I will uphold the aim and objectives of the Indian Psychiatric Society, Rajasthan Chapter to the best of my ability and agree to abide by its constitution and bye-laws which come to force time to time.
Categories
Subscription Amount
Life Ordinary Member
3000
Life Fellow
4000
Life Ordinary Member To Life Fellow
1000
Life Associate Member
4500
Corporate Member
10000
Associate Member
Bank Details for NEFT & IMPS:
For Name of Bank - ICICI Bank, Janta Colony, Jaipur Rajasthan | Account No - 675701140796 | Name - Indian Psychiatric Society | IFSC Code - ICIC0006757
Dr. Sunil Sharma +91-8209795439 Senior Specialist (Psychiatry) Deputy Superintendent Psychiatric Centre Jaipur
105 Suraj Nagar East Civil Lines Jaipur
Psychiatristdrsunil@gmail.com
Photo Upload : (.jpg / .png / .doc / .docx / .pdf)
IPS Life Fellow Membership Number
Highest Degree : (.jpg / .png / .doc / .docx / .pdf)
Transaction Details : (.jpg / .png / .doc / .docx / .pdf)
ID Proof : (.jpg / .png / .doc / .docx / .pdf)
Letter From HOD : (.jpg / .png / .doc / .docx / .pdf)
Please leave this field empty.