Membership Application

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Membership Application

Membership Registration

Types of Membership*
- Life Member (USD 200)
Full Name of Proposed Member (Please underline Surname)*
Title*
Gender*
- Male
- Female
Date of Birth*
Nationality*
Passport No.*
Marital Status*
Dialect*
Religion*
Educational Qualifications*
Mobile / Pager No*
Email*
Cases of Bariatric Surgery/year*
Institution Information
Institution Address*
Name of Institution / Department*
City*
Postal Code*
Country*
Office Tel No.*
Office Fax No*
Residential Information
Residential Address*
City*
Postal Code*
Country*
Residential Tel No.*
Residential Fax No.*

To register manually for APMBSS Membership, please download the Application form here

If you would like APMBSS to endorse your meeting please contact us with the following details. (Endorsed Meeting)