AMPI Know Your Membership – Update form ! – Association of Medical Physicists of India

Sun. Apr 12th, 2026

AMPI Verification

1. Identity & Photos

Title

First Name*

Last Name*

Display Name*

AMPI No

Email

Photo*

2. Contact & Address

Mobile*

DOB*

Country*

Address Line 1*

City*

State*

3. Professional Details

Occupation*

Current Designation

Current Organization*

Organization City*

Work Area*

Diagnostic Radiology

Radiotherapy

Nuclear Medicine

Industry

Research

Teaching

4. Qualifications*

5. Regional Chapter & ID

I am a member of a Regional Chapter

Chapter Name

Chapter Membership No

Identity Type*

Identity Number*

Identity Image Document*

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