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.

Payment Details

Amount	Rs. 6000/- (inclusive of 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

Note :
Full member: Who have completed MCh/DNB Urology degree. One cannot be full member of two zones
Associate member: Post graduates / those who have still not completed MCh/DNB Urology degree
Affiliate members: Qualified Urologist residing in other zones. He/She has no voting rights.

Membership Type

Generate Membership Application Form [All Members]

Click here to generate

Upload Membership Application Form [All Members]

Attach your Photo (All Members) (*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 MS/ DNB General surgery Degree certificate (Full/Affiliate Members) (* Upload JPEG or PDF file less than 2 MB size)

Attach Bonafide certificate from HOD (Post Graduates Associate Members Only) (* Upload JPEG or PDF file less than 2 MB size)

Attach Aadhar Certificate (All Members) (* 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.

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

Sex

Date of Birth

State Registration No.

Urology Degree

University

Year of Completion

Permanent Address

City
State
Pincode
Country
Contact no.

Correspondence Address

City
State
Pincode
Country
Contact no.

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

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:

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Once you click submit, the details will be checked by Hon. Secretary, who will reply to your email ID usually within 24 hours.