Member Registration

Registration Details

Type of Membership: (Please Select)

  1. Life Member - (Rs.7500/-) Open to all medical professionals holding a recognized post graduate degree in the concerned specialty.
  2. Overseas Life Members - (Rs. 7500) Open to all medical professionals holding a recognized post graduate degree in the concerned specialty of National Boards.
  3. Life Associate Member - (Rs.7500/-) Open to all paramedical professionals involved in the specialty.

Submission of Registration form online is mandatory . Applying members can pay registration fees via Cheque on the postal address. Please understand the details as mentioned below:

1. Offline Payment :
a) Submit Registration form online and Payment by Cheque.

  • Submit Online Registration form
  • Upload Mandatory Self attested documents i.e. Highest Medical qualification certificate, Medical Council Registration Certificate, Curriculum Vitae and Photograph
  • Check your email and click on the verification link.
  • Download attachment received in Verification email. Take a print out and send along with the cheque to the office address.
  • Make your cheque payment as per detailed instructions given below.
  • Receipt will be made available to you after due confirmation of Payment. This may take some time
b) Complete Offline Registration and Payment System

  • Download Registration form
  • Please send the form, self-attested medical / dental council qualification and registration certificates, curriculum vitae and photograph via email to the Secretary Dr. Vikram D. Kekatpure, (Sr. Consultant and Director, Head & Neck Surgical Oncology, Director, Bio-repository Program, Cytecare Cancer Hospitals,Bangalore, India. Honorary Secretary , Foundation for Head & Neck Oncology,India ) (fhno.office@gmail.com)
  • Make your payment by cheque or NEFT as per detailed instructions given below.
1. Cheque :
Please make your payment to “ Foundation for Head & Neck Oncology” by Bank Draft / Cheque (MICR)/ Demand Draft (payable at Bengaluru). Please ensure to mention below details, Bank Draft /DD/Cheque details :
Cheque no : _______ Date _________


Please send the payment to the Secretary
Dr. Vikram D. Kekatpure
Senior Consultant and Director, Head & Neck Surgical Oncology,
Director, Bio-repository Program,
Cytecare Cancer Hospitals, Yelahanka,
Bangalore.

2. NEFT :
FHNO Bank Details :
Account Name : FOUNDATION FOR HEAD AND NECK ONCOLOGY,
Kotak Mahindra Bank, B T M layout, Bangalore branch
Account No.: 3014092405
IFSC Code : KKBK0008077
Dr Vikram D. Kekatpure, MS, MCh,
Senior Consultant and Director, Head & Neck Surgical Oncology,
Director, Bio-repository Program
Cytecare Cancer Hospitals, Yelahanka
Bangalore, India-560068.
Ph- 9686422778.
  • Receipt will be made available to you after due confirmation of Payment. This may take some time
  • Please send transaction details to Dr Gouri Pantvaidya, Treasurer FHNO at docgouri@gmail.com and fhno.office@gmail.com

Existing members : You are requested to go through your details on the website and kindly verify your details. For any update/correction you need to just fill the Registration form online with accurate details, documents and photograph .Kindly enter your lifetime membership number accurately while filling form. The details will be updated automatically .

Click to download registration form

Registration Form

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