NARTSR | Dashboard

National ART & Surrogacy Registry

Sign-up Form

Name of Health Facility (ART Clinic/ ART Bank/ Surrogacy Clinic)*

Address of the Clinic/Bank*

Pincode*

State

District

Nature*

Email Address of the Clinic/Bank*

Contact Number of the Clinic/Bank*

Name of the Contact Person*

Mobile Number of the Contact Person (only 10 digit)*

Password* Must contain at least one number, one uppercase and lowercase letter, and at least 8 characters

Confirm Password*

I hereby declare that the entries in this form and the additional particulars , if any,furnished herewith are true to the best of my knowledge and belief.