Join Saudi Arabia Society of Metabolic and Bariatric Surgery (SASMBS) Download Membership Form OR APPLY ONLINE BELOW Personal Information Title:* -Select- Mr Mrs Ms Dr Prof Full name:* Date of birth:* Gender:* Male Female Highest Qualifications:* Specialty:* Email address:* Password:* Re enter password:* Mobile Number:* Address: PO Box: City:* Zip Code:* Citizenship:* Job title:* Tel / Fax Number: Membership Category:* Select Bariatric Surgeon Bariatric Physician Surgical resident/ fellow Endocrinologist Dietician Psychologist Researcher Family/primary care physician Others Name of two(2)referencesSASMBS members Profile picture (Please upload only jpg, jpeg image. Maximum Size: 20MB) Work information (It is recomended to enter work location details as that will be used to display your profile on the map and search results.) Practice name: Practice website: Phone number: Email address: Address: Region: -- Select -- al-Khudud al-Samaliy al-Qasim al-Sharqiya Asir Hail Medina Mekka Najran Qasim Riad Riyadh Tabuk Zip code: (-) Remove Add work location (+) Working member: Member who has a university degree in a healthcare field and practices as a physician or non-physician inside the kingdom from all nationalities. Affiliate member: Member who has a qualification in a healthcare field that is not the main field of the association, and students of medicine and allied health specialties I have declared that the above information is true and correct to the best of my knowledge. I undertake to inform you of any changes therein, immediately. In case any of theabove information is found to be false or untrue or misleading or misrepresenting,I am aware that may render for refusal of this application. Medical license copy: (Please upload only doc,docx,pdf,jpeg,jpg. Maximum Size: 20MB) Update CV: (Please upload only doc,docx,pdf. Maximum Size: 10MB) Personal website link: Are you happy for your profile to appear on the website?* Yes No