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    Member Registration
    Full Name * DrMrMrsMs
    Institution / Hospital *
    Designation *
    Permanent Address *
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    Pin Code *
    Mobile Number *
    Email *
    Type *
    Professional Category * Academic Background: (indicate degrees / diplomas, year from which it was obtained)

    Physician (Indicate Specialty) Physician
    Dietician / Nutritionist Dietician / Nutritionist
    Pharmacist Pharmacist
    Pharmacologist Pharmacologist
    Nurse Nurse
    Biochemist Biochemist
    Industry Industry
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