Membership Application

Membership Fee Exemption Period

From April 1, 2025 to March 31, 2026, members of JROBO and SRS will be exempt from annual membership fees for each other's organizations.

Required fields must be completed.

SRS Member IDRequired

NameRequired	Last Name：
NameRequired	First Name：
Email AddressRequired	Example：info@j-robo.or.jp
Email AddressRequired	Please enter your email address again for confirmation.
Year of Birth
Gender	Male Female Other
SpecialtyRequired	Urology Gynecology Gastroenterology/Upper GI Gastroenterology/Lower GI Gastroenterology/General Respiratory Medicine Cardiovascular Surgery Head and Neck Surgery Pediatric Surgery Other Specialty Allied Health Professional Corporate/Academic Institution
Specialty (Other)

Workplace/InstitutionRequired
Department
Postal Code
Address
Phone NumberRequired	Example: 555-123-4567

After completing the form, please click the "Confirm Input" button.

About the Society