MEMBERSHIP CATEGORIES AND FEES
 
a) Life Members : Any medical doctor who pays the amount as to be decided by the Governing Body of society from time to time.
 
b) Associate / Individual Members : Any person of any caste, creed or sex except a medical doctor can enroll his/her name as Associate Member by paying a subscription of Rs.2000 for life time membership. The Associate Members will not have any powre to vote.
 
c) Institutional / Corporate Members : Any Institution may become a member after paying a subsription of Rs. 1,00,000 one time. They will not have any voting power.
 
LIFE MEMBER : Rupees Five Thousand only ( 5,000.00 )
 
ASSOCIATE MEMBER ( Other Than Medical Doctors ) : Rupees Two Thousands and five hundred only ( 2,500.00 )
 
INSTITUTIONAL MEMBER : Negotiable
( e.g. Pharmaceutical members)
 
All application will be submitted before the Governing Body meeting for approval. The membership of the society will cease a) by voluntary resignation, b) for unsound mind, infamous act of the member which violates the objects of the society on disrepute.
 
 
MEMBERSHIP APPLICATION FORM

 
Members :

   
Name :
   
Mailing Address :
   
 PIN Code :
   
Telephone No
 
Personal No. :
Office No. :   Fax :
   
Mobile No. :
   
e-mail:
   
Affiliated Hospital or Company :
   
1) 
2) 
     

Qualification:

 
Sl. no.
Degree/Diploma
University/College              

Year

1.
2.
3.
4.
5.
6.
   

Medical Registrations:

 
Sl. no
Registration No.
Registering Body
Year
1.
2.
3.
 

Membership  of  other Organisations :

 
Sl. no.
Organisation
Type of Membership            

Since

1.
2.
3.
4.
5.
 
 

 

 
 
 
 

 

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