THE SENIOR INDO-BRITISH ARTHROPLASTY FELLOWSHIP 2012
APPLICATION FORM - DEADLINE 31 MARCH 2012

IOS (UK), as a part of its educational programme, has set up these annual Fellowships, open to established Orthopaedic Surgeons practicing in India. The Senior Tour (Sept 2012) is for Orthopaedic Surgeons Aged 45 & over.

IOS (UK) is glad to announce that Caparo Medical Products have graciously agreed to be the sponsors for this prestigious programme. Please click here for Senior Tour Criteria).

Name:

Address & Tel No.:

Your Subspecialty interest:
i.e., Hip, Knee, Hand, Spine etc.

Brief Description of your contribution to your chosen Subspecialty: (Maximum 100 words)

List three lectures delivered in the last five years at National/International Meetings:

List three of your best publications:

List three important local, regional and national contributions to Orthopaedic Surgery:

Brief Description of why you wish to be considered for the Fellowship: (maximum 100 words)

Please provide  abstracts of scientific study (maximum 3) you wish to present during your travelling fellowship:
(maximum 200 words each)

Please ensure to double-check your responses before clicking the submit application button below. Please enter an answer in every box. Once you submit your application, it will be sent to the IOS (UK) Fellowship Committee for consideration.