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ISRTP MEMBERSHIP INFORMATION UPDATE FORM
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Indicates required field
Name
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First
Last
ISRTP Membership Number
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Type of membership (Please select)
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Life member
Annual Member
Honorary Member
Present Designation
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Office Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Fixed line phone number
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Mobile Phone Number
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Residence Address
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Line 1
Line 2
City
State
Zip Code
Country
Do you conduct PDCC ( Renal Pathology Course)
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Yes
No
If yes, number of students intake per year
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Observership facility in your institute
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Yes
No
Number of Native Renal Biopsies reviewed by you annually
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Upto 250
250-500
500-1000
1000-2000
More than 2000
Number of Renal Allograft biopsies reviewed by you annually
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upto 250
250-500
500-1000
1000-2000
More than 2000
Is Immunofluoroscence facility available in your institute
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Yes
No
Is Electron Microscopy Facility available in your institute
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Yes
No
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