BIOS Membership (update your details) form Please avoid using URL’s and website addresses, otherwise this form will fail to be sent to us First Name Your Surname Current Email Address Your Old Email Address Your Home Address Your Mobile Number Year of joining BIOS Your Affiliated Hospital Your Designation Please select the option below from the drop-down menu —Please choose an option—I am a BIOS member and am updating or confirming my details To help us in not receiving spam, please add this number together 2+7=?