ONLINE APPLICATION

SIB Membership Application

Complete the guided application in four simple steps.

Membership

Personal

Professional

Review

Membership & Account

Choose a membership plan and create your secure account.

Select Membership Type *

test

BDT 10.00

SIB professional membership

General

BDT 10.00

SIB professional membership

Life

BDT 5,000.00

SIB professional membership

General & Life

BDT 6,000.00

SIB professional membership

Email Address *

This email will be used to access your member account.

Password *

Minimum 8 characters.

Confirm Password *

Personal Information

Provide your legal identity and contact information.

Full Name *

Father's Name *

Mother's Name *

Religion

Date of Birth *

Gender *

Blood Group

Present Address *

Permanent Address *

National ID *

BMDC Registration No. *

Mobile / WhatsApp *

+88

Professional Information

Tell us about your medical career and area of expertise.

Current Designation *

Highest Qualification *

Institute / Organization *

Critical Care Interest

Passport-size Photograph

JPG, PNG or WebP. Maximum file size: 2 MB. This photo will appear on your ID card.

Review & Submit

Confirm your information before submitting the application.

Applicant

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BMDC Registration

—

Mobile

—

Designation

—

Institute

—

Your application will be reviewed by an SIB administrator. Payment becomes available only after approval.

I certify that the information provided is accurate and agree to uphold the ethics, constitution, and regulations of the Society of Intensivist Bangladesh.

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