National PRM Society RegistrationBACK TO MAIN MENUNational PRM Society REGISTRATION "*" indicates required fieldsStep 1 of 333%Select the National PRM Society (English Name)* SOCIETYAlgerian Society of Physical Medicine and RehabilitationArgentine Society of Physical Medicine and RehabilitationAssociation of Academic PhysiatristsAssociation of Physical and Rehabilitation Medicine of MadagascarAustrian Society for Physical Medicine and RehabilitationBangladesh Society of Physical Medicine and RehabilitationBelgian Royal Society of Physical Medicine and RehabilitationBolivian Society of Physical Medicine and RehabilitationBrazilian Association of Physical Medicine and RehabilitationBritish Society of Physical and Rehabilitation MedicineBulgarian Association of Physical Medicine and RehabilitationCanadian Association of Physical Medicine & RehabilitationChilean Society of Physical Medicine and RehabilitationChinese Association of Rehabilitation MedicineChinese Society of Physical Medicine and RehabilitationClinical Rehabilitologists Armenian Association (CRAА)Colombian Association of Physical Medicine and RehabilitationCuban Society of Physical Medicine and RehabilitationCyprus Society of Physical Medicine and RehabilitationCzech Society of Rehabilitation and Physical MedicineDominican Society of PhysiatryDutch Association of Rehabilitation DoctorsEcuadorian Society of Physical Medicine and RehabilitationEgyptian Society of Rheumatology & RehabilitationFinnish National Society of PRMFrench Society of Physical Medicine and RehabilitationGerman Society of Physical Medicine and RehabilitationGreek Society of Physical Medicine and RehabilitationGuatemalan Association of Physical Medicine and RehabilitationHonduran Society of Physical Medicine and RehabilitationHong Kong Association of Rehabilitation MedicineIndian Association of Physical Medicine & RehabilitationIndonesia Society of Physical Medicine and RehabilitationIranian Society of Physical Medicine and RehabilitationIsraeli Association of Physical Medicine and RehabilitationItalian Society of Physical and Rehabilitation MedicineJapanese Association of Rehabilitation MedicineJordanian Society of Physical Medicine & RehabilitationKorean Academy of Rehabilitation MedicineKosovo Society of Physical and Rehabilitation MedicineKuwait Society of Physical Medicine and RehabilitationLuxembourg Association of Specialist Physicians in Functional Rehabilitation and AdaptationMalaysian Association of Rehabilitation PhysiciansMedical Rehabilitation Committee of Hospitals Association of KoreaMexican Society of Physical Medicine and RehabilitationMongolian Society of Physical and Rehabilitation MedicineMorocco Society of PMRMyanmar Society of Rehabilitation MedicineNational Association of Medical Rehabilitation and Sports Medicine of GeorgiaNational Council of Physicians and Rehabilitation of the Democratic Republic of CongoNicaraguan Association of Physical Medicine and RehabilitationPakistan Society of Physical and Rehabilitation MedicinePanamanian Society of Physical Medicine and RehabilitationParaguayan Society of Physical Medicine and RehabilitationPhilippine Academy of Rehabilitation MedicinePhysiatry Association of Costa RicaPhysical & Rehabilitation Medicine Physicians Club of QatarPolish Rehabilitation SocietyPortuguese Society of Rehabilitation MedicinePuerto Rico Society of Physical Medicine and RehabilitationRehabilitation Medicine Society of Australia and New ZealandRomanian Society of Physical and Rehabilitation Medicine & BalneoclimatologyRomanian Society of Rehabilitation MedicineRoyal College of Physiatrists of ThailandRussian Association of Regenerative Medicine and Medical Rehabilitation SpecialistsSaudi Arabian Society for Physical & Rehabilitation MedicineSaudi Medical Rehabilitation Association (SMRA)Serbian Association for Physical Medical and RehabilitationSociety of Rehabilitation Medicine - SingaporeSociety of Rehabilitation Medicine of PeruSpanish Society of Physical Medicine and RehabilitationSudanese Society For Physical and Rehabilitation MedicineSwedish Society of Rehabilitation MedicineSwiss Society of Physical Medicine and RehabilitationSyrian Society Association for Physical Medicine and RehabilitationTaiwan Academy of Physical Medicine and RehabilitationThe Emirates Society of Rehabilitation & Sports MedicineThe South African Society of Physical and Rehabilitation MedicineThe Vietnam Rehabilitation AssociationTunisian Society of Physical Medicine, Rehabilitation and Functional RehabilitationTurkish Society of Physical Medicine and RehabilitationUkrainian Society of Physical and Rehabilitation MedicineUruguayan Society of PhysiatristsVenezuelan Society of Physical Medicine and Rehabilitation COUNTRY Username Email WB RANKING %fee Official (UN) Country Name:*Username*Same as the ISPRM email address unique to your Society that never changes.Email Address* This is the ISPRM email address unique to your Society that never changes.Password* Enter Password Confirm Password Strength indicator Create password for the Society profile. Save it in a safe place!This field is hidden when viewing the formMy documents*Main Contact Person - responsible for updating the Society profile and forwarding our communication to the official representatives (can be changed at any time)Main Contact Person - Title*Prof.Assoc. Prof.Dr.Mr.Ms.Mrs.MissMain Contact Person - Full Name* First Name Family Name Main Contact Person - Email Address* Main Contact Person - Position in the Society*Main Contact Person - Phone number*Official AoD Representative (with right to vote at the ISPRM Annual Assembly) Please complete and keep the additional contact details below always updated. *Note, due to our ''One Country, One Vote'' rule, your Society may nominate a delegate autonomously, unless there is another affiliated PRM National Society representing your country. In which case, the PRM Societies from the same country must agree to nominate a single delegate with right to vote.**The only exception is for the People's Republic of China (CSPMR and CARM), given the membership of both their Societies prior to this rule.AoD Representative is the same as Main Contact Person AoD Representative is the same as Main Contact PersonTitle*Prof.Assoc. Prof.Dr.Mr.Ms.Mrs.MissAoD Representative's Name* First Name Family Name Position/Profession*Email 1* Email 2 Phone number*Continent of Residence* ContinentAFRICAASIAEUROPENORTH AMERICAOCEANIASOUTH AMERICA ISPRM REGION Country Please select your Continent of Residence and ISPRM Region before selecting your Country of ResidenceISPRM Region*Country of Residence*Current President or Board LeaderSame as Current President or Board Leader is the same as Main Contact Person Current President or Board Leader is the same as Official AoD RepresentativeThis field is hidden when viewing the formSame as Main Representative Same as Main Contact PersonThis field is hidden when viewing the formSame as Official AoD Representative Same as Official AoD RepresentativeTitle*Prof.Assoc. Prof.Dr.Mr.Ms.Mrs.MissCurrent President or Board Leader's Name* First Name Family Name Position/Profession*Email 1* Phone number*This field is hidden when viewing the formOther Board Member(s) or Secretariat Title Full Name Position/Profession Email Phone NumberActions EditDelete There are no Entries. Add Entry Maximum number of entries reached. Current Number of Active Members in the Society (please update this at least twice a year for statistics purposes)Date Active Members in the Society* Day Month YearNumber Active Members in the Society*Please note that we can import your current active members and notify them of their membership status if you provide us with a list (which must include their FIRST NAME, LAST NAME and EMAIL ADDRESS). This optional service should help with communication and to facilitate access for your members in claiming their ISPRM membership. You can upload a file here at any time, but if you have new members or modifications made from previous file for the same year please highlight the changes.Disclosure Form required to import your list of current active members. (CLICK HERE to download the template and upload it completed below)Upload 1: Disclosure Form Drop files here or Select filesMax. file size: 3 MB.In order to upload your list we require an Excel file with the 3 data fields. (CLICK HERE to download the template and upload it completed below) Upload 2: List of Members Drop files here or Select filesMax. file size: 3 MB.National Society Office/ Registration Address* Street Address City State / Province / Region ZIP / Postal Code Fiscal Address is the same as National Society Office/ Registration Address Fiscal Address is the same as National Society Office/ Registration AddressFiscal Address (for invoice/ payment receipt only)*Also known as Operations or Accounting address Street Address City State / Province / Region ZIP / Postal Code Account Holder Name (Person or Institution)*Account Holder's Phone number*Tax registration code (optional)Date the Society was stablishedDDDD12345678910111213141516171819202122232425262728293031MMMM123456789101112YYYYYYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Society Name (in Native Language)Society AcronymForum Signature(to be visible online, max. 50 words)Your Society Official Website page FacebookInstagramLinkedinTwitterOther(s)Tell the ISPRM community about your National PRM Society! Increase your chances to find other PRM professionals interested in joining, collaborate or exchange ideas.*Write a short description about the Society (background, events, projects, etc). max. 500 wordsPRIVACY DISCLOSURE* By submitting this form, you agree to our Terms of Use and Privacy Policy.Click HERE to read full data protection informationAnnual dues payment information.Here you can see the current membership fees for your Society, automatically calculated based on the number of members you declared and your country's World Bank Ranking (updated annually). **Ignore the info. below if your Society has already paid its dues.**Amount based on n. of members: up to 10Amount based on n. of members: 11 to 20Amount based on n. of members: 21 to 30Amount based on n. of members: 31 to 50Amount based on n. of members: 51 to 99Amount based on n. of members: 100 to 199Amount based on n. of members: 200 to 399Amount based on n. of members: 400 to 499Amount based on n. of members: 500 to 999Amount based on n. of members: 1000+Base FeeFee %This is automatically calculated based on our 'table of fees' (review here). Example: if the country of your Society is classified as ''upper middle income'', your fee is due at 80% and therefore you receive a discount of 20%. The country classification is dictated by the World Bank and is reviewed annuallyTOTAL to PAYDate DD slash MM slash YYYY