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Membership Application

Membership Category

personal details

professional details

Supporting documents

Optional uploads. Submit clear copies in PDF, JPEG, or PNG format (maximum 10 MB per file).

Associate: medical or dental degree certificate.

Medical and/or dental council as applicable.

Confirming resident enrolment and expected completion date.

PDF, DOC, DOCX, JPEG, or PNG โ€” max 5 MB.

Procedures performed *

contact details

Permanent Address

Work Address

Website & social links

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