Registration – ROS Online

Full Name (In CAPITAL letters only)

Password (Set password for future login)

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Date of Birth

Permanent Address

Hospital/Clinic Address

Mobile

E-mail Address

Qualifications

Designation

Registration No. & State in Which Registered

Are You a Member of A.I.O.S. Yes/No Furnish Details

YesNo

Proposed by (Name & ROS Membership No.) (For new members only)

Seconded by (Name & ROS Membership No.) (For new members only)

Please attach your (i) Medical Council Certificate

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(ii) MS, MD Certificate or Certificate from HOD (in case of resident)

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Mode of Payment:

Date of Payment

I wish to be a Life Member,

Declaration by Candidate: I declare that the above details are correct. I shall abide by the regulations of the Society in force and any subsequent amendments made from time to time

R.O.S. Secretariat

Contact Info