Become A Member of the BSIR

Please complete the form below to register to become a member of the BSIR.

Fields marked with a * are required

Type of membership required: *

Account Details

Primary Email Address *

This email will be shared with other members through find a member and will be your user name for login.

Password *

Confirm Password *

Personal Details

Title *

Given name *

Surname *

Date of Birth *

Gender *

Personal Address Details

Address 1 *

Address 2

Address 3

Town *

Country *

Postcode *

Other Personal Details

Referring Member's Email Address *

Please enter the email address of a member that will support your application.

Head of Training's Email Address *

Please provide the email address of the person responsible for your training

Qualifications *

Ccst status *

Anticipated CCST Date *

Job Title *

Hospital Address Details

Hospital *

Hospital department *

Hospital address 1 *

Hospital address 2

Hospital address 3

Hospital town *

Hospital country *

Hospital postcode *

Hospital telephone *

Contact Details

Telephone *

Home email address *

Work email address *

Preferred mailing address *

Please tick if you would like to be added to the BSIR mailing list

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Charity Info

British Society of Interventional Radiology (BSIR)
The Royal College of Radiologists
63 Lincoln’s Inn Fields
London WC2A 3JW

Registered Charity: 1198888

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