INAVRS Membership Application

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The INAVRS offers vitreoretina surgeons a forum for communicating with colleagues. INAVRS membership is offered to qualified ophthalmologists in the Indonesian Country and must be approved by the board Officers.

Benefits of INAVRS Membership :

• Full membership in INAVRS (1 Years)
• Reduced registration fees at INAVRS Congresses/Meeting
• Access to Members Only Area on the INAVRS Website
• Access to Jurnal Retina
• Get Free Books of Retina
• Membership application subject to approval by Board of Officers
• Membership Certificate upon approval by the Board of Officers

Registration Form

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Membership Package

Full Membership

IDR 400.000 / USD 26,67
For 1 Years

Personal Information

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First Name *

Last/Family Name

Title* dr.Dr. dr.Prof. dr.Prof. Dr. dr.

Birth Date

Institution

Address*

Country*

Province

City

Zip Code

Phone Number *

Email *

Academic & Experience

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Medical School

Residency

Year Completed

Fellowship/Training in VitreoRetina field

Where

Year Completed

Specialty Interest --Select-- Medical Vitreoretinal Surgical Vitreoretinal

NRA Perdami & Password

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NRA Perdami*

Password * min. 8 characters

Confirm Password *

Payment Method

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ATM Transfer

Gopay

Please Note : All payment with credit card will be added with 2.9% administration charge + Rp 2.000, VA/Bank Transfer will be added Rp 4.400 administration charge. QRIS and Gopay will be added 0.7% administration charge

Bank Transfer To : Bank Mandiri
131-00-9889998-4 - Yayasan Indonesian Vitreo Retinal

Submit