Vascular Nursing Society of India (VNSI) membership form 
Registration form
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Name *
Age *
Gender *
Residential address (with pincode) *
District *
State *
Mail ID *
Contact number (WhatsApp no.) *
Qualification in Nursing *
RN number *
RM number
Designation *
Name of the Institution where employed *
Sector of Institution employed  *
Current service *
If in clinical practice, current area of work
Years of experience as a nurse *
Years of association with vascular nursing *
I would like to become a life member of VNSI
*
Details of payment :Account Name: Venous Association of India
Account Number: 918010019239711
IFSC Code: UTIB0001518
Bank: Axis Bank Ltd.
Branch: Sector 16, Chandigarh – 160015
Amount : Rs. 1000/-

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