Membership Application

Student membership

Validity: Annual.

Medical degree certificate
Valid and up-to-date medical council registration
Letter from your Head of Training / Department confirming resident status and expected completion date of training

personal details

Supporting documents

Upload certificates in PDF, JPEG or PNG format (maximum 10 MB per file).

Undergraduate Degree Certificate *

Postgraduate Degree Certificate *

Medical/Dental Registration Certificate *

Head of Training / Department letter

Confirming resident enrolment and expected completion date.

CV *

PDF, DOC, DOCX, JPEG, or PNG - max 10 MB.

Permanent Address

Address line 1 *

Address line 2

Postal/Zip Code *

City *

Country*

State/Province *

Work Address is same as Permanent Address

Disclaimer : Membership applications will be vetted by the Credentialing Committee for approval. The full amount will be refunded if membership is not approved.

Membership Application

Membership Category

personal details

professional details

Supporting documents

contact details