Indian Thyroid Society (ITS) is a registered National organization which was formed in 2003.

Indian Institute of Diabetes, Pulayanarkotta,Thiruvanathapuram,Kerala, India - 695033
itshq2020@gmail.com
+91 9961988021

ITS Nomination Form

* are mandatory

Title *

Post Applied for *

Name of the Candidate *

State *

ITS Membership no *

Email ID *

Address *

Mobile No. *

Recent photo *

Signature of Candidate *

Name of Proposer *

Proposer Membership no. *

Proposer Signature *

Name of Seconder *

Seconder Membership no *

Seconder Signature *

Short biography (approx. 100 words) *

Undertaking *

By affixing my signature to this nomination form I consent

To contest elections to the post for which I have sought nomination.

To serve the executive body of the Indian Thyroid Society if elected.

Date *