Registration/

Register here to become a Member of IAOMR

'*' fields are mandatory

Any queries regarding Online Registration Technical Assistance, Please contact 0824 – 4252005 (10:00 AM – 6:00 PM Working days)

Please, Make sure you are ready with the soft copies of Photo ,BDS, MDS Certificate and Scanned Copy of Payment before you Register.

Note: Dear Postgraduate Students, Please, select Membership Type as ASSOCIATE LIFE MEMBER to proceed

Basic Details

Name*
 
Gender*
 
Membership Type*
 
Contact Number*
 
Date of Birth*
 
Photo*
 
Email ID*
Password*
 
Confirm Password*
   
Address*
 
State*
 
Pincode*
 
Clinic Address with State Name and Pincode

Payment Details

Payment Mode *
 
Sl NoMembership TypeAmountDescription
1 LIFE MEMBER 8600.00 Life Membership: Rs. 8,000/- + Rs. 500/- for ID Card + admission fee of Rs.100/-
2 ASSOCIATE LIFE MEMBER 8600.00 Associate Life Membership: Rs. 8,000/- + Rs. 500/- for ID Card + admission fee of Rs. 100/-
3 PATRONS 25000.00 Rs.25, 000/- as one time payment
Amount*
 
Date*
 
Transaction Number*
 
A/C Holder Name*
 
Bank*
 
Branch*
 
Upload Scanned Copy * (File Size Max 500KB)
   
Bank Account Details

Bank Name : Bank of Baroda (Formerly Vijaya Bank)
Branch : Raja Rajeswari Nagar, Bengaluru
A/C Number : 401101011006397
A/C Name : Indian Academy of Oral Medicine and Radiology
Account Type : SB
IFSC code : BARB0VJRNBA (If the payment is unsuccessful with this IFSC, then please transact using VIJB0001422 as the IFSC. The later mentioned IFSC was the IFSC before the merger of Vijaya Bank with Bank of Baroda).

Certificate

BDS Certificate* (File Size Max 500KB)
 
MDS Certificate* (File Size Max 500KB)