Back to homepage
Create Account
Membership Applied For
Applied For
Fellows
Candidate Members
Allied Health Professional Members
Title
Title
Dr
Ass Prof
Assoc Prof
Prof
Mr
Ms
First Name
Middle Name
Last Name
Sex
Select
Male
Female
Professional Email Address
Personal Email Address (Will be your account's email address)
Phone Number
Mobile Phone Number
Degree
Select
MD
DO
PhD
Other
University / Hospital
Department
Address
City
Country
Country
ALBANIA
ARGENTINA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHRAIN
BANGLADESH
BELARUS
BOLIVIA
BRAZIL
BULGARIA
CAMEROON
CHILE
CHINA
COLOMBIA
CONGO
CUBA
CZECH REPUBLIC
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
FRANCE
GERMANY
GREECE
GUATEMALA
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAPAN
KENYA
KOREA
KOREA SOUTH
KOSOVO
KUWAIT
LATVIA
LIBYA
LITHUANIA
MACEDONIA
MALAYSIA
MEXICO
MONGOLIA
MOROCCO
NEPAL
NETHALANDS
NETHERLANDS
NEW ZEALAND
PAKISTAN
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
ROMANIA
RUSSIA
RUSSIAN FEDERATION
SAUDI ARABIA
SERBIA
SINGAPORE
SLOVENIA
SOUTH AFRICA
SOUTH KOREA
SPAIN
SRI LANKA
SWEDEN
SWITZERLAND
TAIWAN
THAILAND
TURKEY
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
URUGUAY
USA
VENEZUELA
VIETNAM
University Affiliations (Please write "none" if there isn't any)
Graduated School of Medicine / Other
If you are a fellow/resident, in what year will you seize to be a one? e.g. 2023 or NA
Memberships in Other Medical / Surgical Organizations (Please write "none" if there isn't any)
Published Contributions to Medical Literature in the last 5 years (Please write "none" if there isn't any)
How would you like your name to appear on your membership certificate?
Would you like to be considered for a position on a ISUCRS committee? See by-laws for more information
No
Committee on Future Meeting Places
Committee on Bylaws
Membership Committee
Publication Committee
Education Committee
Program Committee
Future Planning Committee
Grant Committee
Do you want to register for a:
Please Select
Fellow - $100 [Annual membership fee]
Fellow - $270 [3-year membership fee]
Candidate Member - $50 [Annual membership fee]
Associate Health Professional Member - $50 [Annual membership fee]
Upload your CV
Your Password
Confirm Password
I agree to the
terms and conditions
Sign up
Already have an account?
Login here
Settings