Terms & Conditions

Radiographer Registration Form

Name of the Radiographer

Mother's Name

Father's Name

Qualification (General / Technical)

Date of Birth

Date of Joining in Service

Permanent Address

City

State

Pin Code

Present Address

City

State

Pin Code

Institution from which DMRT course completed

Year of Passing

Aadhar Number

Are you a retired radiographer?

Are you an unemployed radiographer?

Place of Service

Address of Employer

City

State

Pin Code

Date of Joining in Service

Mobile No

Whatsapp No

Email ID

Declaration

I do, hereby declare that I shall abide by all the rules & regulations of the association and I also know that on violation of rules & regulations framed by the association, may cause cancellation of my membership and do hereby authorize the Association to use my above submitted information for uploading in the website of the Association and can use it for sending me newsletter, conference communication and any other communication deemed fit in accordance with the betterment of the Association.

Registration

Radiographer Registration Form

Permanent Address

Present Address

(AORSA)

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