Online Membership Application System (OMAS)

Validation
Personal Details
Education & Practice
References
Review & Submit

Permanent Address

Clinic / Hospital Address

Education & Practice

MBBS

Post Graduation

Super Speciality

IMR Registration (MCI/State Medical Council number)

State

Field of Specialization

Surgeon

Gastro enterologist

Endoscopic surgeon

Radiologist

Laparoscopic Surgeon

Others

Field of Interest

Hepatology

Pancreas

Biliary Tract

Documents

IMR / State Medical Council registration certificate * (Please upload document less than 300kb in size for faster uploading) Kindly do not upload password-protected pdf's

upload

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Degree certificate (Please upload document less than 300kb in size for faster uploading) Kindly do not upload password-protected pdf's

upload

Processing dropped files...

Referee 1 (Should be a Life member of ASA)

Referee 2 (Should be a Life member of ASA)

Permanent Address

Clinic / Hospital Address

Education & Practice

MBBS *

Post Graduation *

Super Speciality

IMR Registration (MCI/State Medical Council number)

State

Field of Specialization

Surgeon

Gastro enterologist

Endoscopic surgeon

Radiologist

Laparoscopic Surgeon

Others

Field of Interest

Hepatology

Pancreas

Biliary Tract

Documents

IMR / State Medical Council registration certificate *

Degree certificate *

Online Membership Application System (OMAS)-LIFE MEMBERS [LM]

Membership User Account

Permanent Address

Clinic / Hospital Address

Education & Practice

Referee 1 (Should be a Life member of ASA)

Referee 2 (Should be a Life member of ASA)

Permanent Address

Clinic / Hospital Address

Education & Practice

Referee 1 (Should be a Life member of ASA)

Referee 2 (Should be a Life member of ASA)