Online Membership Registration

Degree University Year
Appointment Institution Period
Institution Period Type of Training / Course
Membership of other Societies(Specify) Yes No
Publications (if any) with title,name of all authors,Journals,vol.,page,year  Yes    No  
Research work on Cardiovascular system(if any)  Yes    No  

Please send the completed application along with the prescribed fee (cheque/DD/NEFT) to Dr. Jose Chacko Periappuram, Secretary, Society for Heart Failure and Transplantation, 3B Link Manor, Old Railway Station Road, Kochi-682018, drawn in favour of the ‚ÄúSociety for Heart Failure and Transplantation‚ÄĚ payable at Kochi. Please leave blank the space for proposer and seconder.

Application Fee

Life Membership : Rs. 5000

Associate Membership : Rs. 2000

Account Details
A/c Name: Society for Heart Failure & Transplantation
A/c No.: 14210100124873
Bank: Federal Bank, Kaloor, Cochin
IFSC Code: FDRL0001421

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