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SOCIETY OF PELVI-ACETABULAR SURGEONS (SPAS)
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Society of Pelvi-Acetabular Surgeons (SPAS)
Member Type:
Life-Time
Associate Membership
FULL NAME (Block Letter)
*
DATE OF BIRTH (ex.25-12-1990)
*
FATHER NAME
*
MAILING ADDRESS
*
PIN CODE
*
EMAIL ID
*
PHONE (with STD code)
*
FAX NO:
*
PHONE (with STD code):
*
FAX NO:
*
MOBILE (10 DIGIT):
*
QUALIFICATION:
*
YEAR OF PASSING MS(ORTHO/TRAUMA SURGERY)/ D ORTHO:
*
0
POST PG EXPERIENCE (in years):
*
0
Number of Pelvic-Acetabulum surgeries performed as:
*
Lead Surgeon
First Assistant