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

Account Details

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

Personal Details

Personal Address Details

Other Personal Details

Please enter the email address of a member that will support your application.
Please provide the email address of the person responsible for your training

Hospital Address Details

Contact Details