About Us
Overview
Leadership
Honorary Members
Donors & Partners
Statute
Euromelanoma
ITC
ITC 2026
ITC 2022
ITC 2016
ITC 2014
Gallery
Photo Gallery
Video Gallery
News
Contacts
Login
Join
EN
English
ქართული
Membership Registration Form
Membership requires payment of the annual fee and completion of the application below.
Membership is valid from the date of payment until the end of January of the following calendar year.
Payment method *
Bank transfer
Full Name *
Full Name (Georgian)
Personal ID Number *
Date of Birth *
Phone *
Email *
Create Password *
Use at least 8 characters. Avoid using your name or email, and avoid common passwords/words.
Repeat Password *
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
Status Confirming Document *
Upload a copy of your student ID, enrollment certificate, or residency confirmation (PDF, JPG, PNG — max 10 MB).
I confirm that the data is accurate.
I agree to the review of the application by the association.
Submit Application