Online Application

STEP 1 - Online Membership Form

We are currently experiencing intermittent issues with electronic Direct Debit submissions. If you encounter this issue, please use the Paper Direct Debit option on the next page instead. Thank you for your patience.

Note! Click here for details about membership types, fees and benefits
Select the type of membership. Full membership if medically qualified, Associate for others health professionals
Enter your title.
Enter your Surname.
Enter your First Name.
Enter your (most reliable) address line 1.
Enter your address line 2.
Enter your address line 3.
Enter your city or town.
Enter your State/Province/County.
Enter your post code / zip code.
Please enter the name of the hospital/organisation where you work
Please include name of instituition,phone numbers etc.,
Consultant, Associate specialist, ST1-7, ACCS, ODP etc.,
Professional Organisation you are registered with. e.g., GMC, NMC
Please enter the registration number
If your are a trainee enter your school of anaesthesia.
If you are applying for Associate membership, please enter supporting DAS member’s name and membership number. This information is not required if you are applying for Full membership.
Select your specialty
Select the type of membership
Click here for details of DAS surveys