Photoderm.org

Full Name *

Full Name (Georgian)

Date of Birth *

City *

Education *

Higher Medical Education

Nursing

Medical Student

Other:

Medical Specialty

Academic Degree (if applicable)

Workplace / Position

Membership Category *

Specialist Doctor – 80 GEL

Nurse – 50 GEL

Bachelor – 50 GEL

Resident/Junior Doctor – 50 GEL

Student – 20 GEL

Doctor Type *

Medical Doctor (MD)

Non-MD doctor / allied doctor category

Only active MD members are eligible for the ITC member discount.

Membership Registration Form