Get Pplsss

The Pplsss membership application form is an essential document for individuals seeking to enroll in the Family Benefit Scheme of IMA Tamilnadu. This guide provides a detailed walkthrough on how to complete the form efficiently and accurately.

Follow the steps to successfully complete your Pplsss application.

1. Press the ‘Get Form’ button to acquire the form and open it in the designated editor.
2. Begin filling out the form by entering your name in capital letters as prompted at the top of the form.
3. Provide your date of birth in the designated section, ensuring the format aligns with the requirements.
4. Enter your father’s or partner’s name in the appropriate field, following it with your address details. Include your age and sex, selecting from the options provided.
5. Fill in your telephone numbers, both residential and hospital, along with your mobile number and email address.
6. Provide your educational qualifications, including the name of the university and year of passing for each qualification.
7. Input your registration number along with the name of the medical council and the year of registration.
8. Specify your current place of practice in the corresponding section.
9. Enter your IMA Life Membership number and the name of your local branch.
10. Input your PPLSSS number and indicate if you are insured under the indemnity scheme. If yes, provide the name of the insurance company and policy number.
11. List the names and details of your family members, including their age, sex, and relationship to you.
12. Provide the nominee's name and relationship to you in the specified fields.
13. Fill in payment details, including the demand draft number, bank, branch, amount, and date of issue. Ensure to follow instructions for payment submission.
14. Finally, fill out the despatch details, indicating the method of sending your application and the respective date.
15. Sign the declaration at the end of the form, confirming the accuracy of the information provided.
16. Once completed, save your changes, and you can choose to download, print, or share the application form as needed.

Complete your Pplsss membership application today to secure your benefits online.