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Registration Form
Fields marked * are mandatory to fill.
 
Membership Details  
Are you IACVS member *   Select your preferred IACVS member?
Personal Details
First Name *   Eg: "Janaina" is first name in Janaina B. G. Bueno.
Middle Name   Eg: "B. G." is middle name in Janaina B. G. Bueno
Last Name *   Eg: "Bueno" is last name in Janaina B. G. Bueno
Land Line Phone Number *    
Photo *   Please upload your scanned latest passport size Photo only in .jpeg, .jpg, .gif or pdf format only. File size should not be more than 200 KB
Email * Your (unique) User ID
Permanent/Home Address *
  Note: This address will not appear in any IACVS publication. It will be used by IACVS if you change your place of employment and we are unable to obtain a forwarding address and phone number.
Country *  
State *  
City *  
Pin/Zip Code 
Professional Details  
Name of firm, Company or Agency *   Current Employer
Mobile Number *   IACVS, Regional Charter may contact if required.
Shipping / Mailing Address *
  Note: This address will be used by IACVS or Regional Charter to correspond and deliver any documents (Books/Preparation Material /Certificate/Exam Admit Card etc.
Country  *  
State *  
City *  
ZIP/PIN code 
Identification Details  
ID Proof Document *   ID must have photo and address visible in .jpeg, .jpg, .gif or pdf format only. File size should not be more than 200 KB
ID Type *  
ID Number *   Key-in the number on the ID proof document
Issued Country  *   Note: Your account will be verified and approved by the Regional Charter in the Country of your ID issued.
Regional Charter Details  
Country/Region *   Select your preferred Regional Charter?
Organisation Name *  
     
       
 
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IACVS Member?
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