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RSSDI Save the Feet- Keep Walking registry
We invite all of you to be a part of THE RSSDI SAVE THE FEET & KEEP WALKING registry. Please register yourself for the registry and Add Patient screening data after login
Registration Form
First Name
*
:
Last Name
*
:
Email ID
*
:
Mobile
*
:
Address Line 1
*
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Address Line 2 :
State
*
:
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
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Daman and Diu
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Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
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Karnataka
Kerala
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Lakshadweep
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Manipur
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Nagaland
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West Bengal
City
*
:
Pincode
*
:
RSSDI Member
*
:
Yes
No
State Chapter
*
:
Andhra Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Odisha
Punjab
Rajasthan
Tamil nadu
Telangana
Uttar pradesh
Uttarakhand
West bengal
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