Register Register AOP GUJARAT Register AOPG MEMBERLife Membership₹1.00If you are a pediatrician, you can become AOPG member by registering with the below form and paying Rs. 2,000/- life-time membership fee. Once your form are verified, your account will activated. after you will able to login your account.Registration Form All fields marked with * are mandatory to enter * Mobile Number (Username)Allow only 10 digit * Surname * Name* GenderMaleFemale * Email Address * Confirm Email Address * PasswordStrength: Very Weak Hospital Address Residential Address* StateGujarat * State * City * CIAP Number * Pincode* Profile PictureDone(Use Cropper to set image and <br/>use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.jpg, jpeg, png / Max 5 MB Select Your Payment GatewayRazorpayHow you want to pay?Auto Debit PaymentManual PaymentPayment SummaryYour currently selected plan : , Plan Amount : Coupon Discount Amount : , Final Payable Amount: SubmitAlready have an account? Login
