Membership Registration – UPASI | Association of Surgeons of India UP Chapter

I am registering as: *

New Applicant

Applying for UPASI membership for the first time

Existing Member

Already a UPASI member — registering on the portal

Personal Information

Your basic contact details

Full Name *

Email Address *

Phone Number *

+91

Address

Password *

Confirm Password *

Professional Details

Your surgical background and institution

Institution / Hospital *

Surgical Specialty

Highest Qualification

Year of Passing

City *

Nearest UPASI Chapter (optional)

UPASI is a state-level association. This is for reference only.

By submitting this form, I declare that the information provided is true and correct to the best of my knowledge. I understand that my membership is subject to approval by the UPASI Executive Committee.

Reviewed within 7–10 working days.