Suzsi

Apply Online

If you have already submiited the membership form please click here to view the status View Application Status

You can do online payment either by QR code instantly or by NEFT method to the below mentioned bank account details. After making payment save the screen shot of successful transaction. You will also need your latest passport photograph, degree certificate soft copies etc for completing the registration process.

Note :
Full member: Who have completed MCh/DNB Urology degree. One cannot be full member of two zones
Affiliate members: Qualified Urologist residing in other zones. He/She had no voting rights.
Trainee member: Post graduates who are undergoing training for MCh/DNB Urology degree

Kindly keep the relevant documents ready to upload In the highlighted boxes

Membership Type

Generate Membership Application Form

Click here to generate

Upload Membership Application Form

Attach your Photo

(*jpg Passport size profile photo should not exceed 600KB)
In case your photo size is more than 600KB, please search "How do I reduce the file size of a JPEG photo?" in google for help and follow the steps.

Attach Aadhar Certificate (* Upload JPEG or PDF file less than 2 MB size)

First Name (Do not Prefix Dr. and Prof) & (Do not type in capitals except first alphabet) [eg : Kishore]

Middle Name

Last Name

Mobile No. (If mobile phone numbers within India, type 10 digits only and do not prefix 0 or +91 or add spaces in between.)

Email ID. (Email IDs are Unique please do not use IDs which was used before)

Sex

Date of Birth

NMC/State Registration

Registration No.

Permanent Address (Do not type city /state / pincode in this box)

City
State
Pincode (Complete)
Country (Do not type n at the end)
Contact no.

Correspondence Address (Do not type city /state / pincode in this box)

City
State
Pincode (Complete)
Country (Do not type n at the end)
Contact no.

Check this box if Permanent address and Correspondence address are the same.

Payment Details

Amount	Rs. 7080 (6000 + 18% GST)
Bank Name	STATE BANK OF INDIA PARK TOWN( CHENNAI) 68 EVENING BAZAAR ROAD , CHENNAI
Account no	10273424184
IFSC Code	SBIN0001856
Branch Code:	1856
MICR:	600002037

Scan the below QR Code to pay

Please fill payment details:

Amount paid (Rs):

UPI ID/NEFT details:

Date of doing transaction:

Bank from which you transferred the amount:

Upload Scanned Copy of Payment Reciept:

I am aware of the rules and regulations governing the ASU. I agree to abide by them, at all times, if approved as a member.

Type the above number:

Once you click submit, the details will be checked by Hon. Secretary, who will reply to your email ID after verifying your details.