Get Life Membership Application Form - Medicalmsc.org

Filling out the Life Membership Application Form is an important step for individuals seeking membership in the National M.Sc Medical Teachers Association. This guide will help you understand each section of the form and provide clear instructions to ensure your application is completed accurately.

Follow the steps to successfully complete the application form.

1. Click 'Get Form' button to obtain the form and open it for editing.
2. Begin by filling in your salutation, selecting the appropriate box for 'Mr.', 'Ms.', 'Mrs.', or 'Dr.', and affix a recent passport-sized photograph.
3. Enter your full name in the designated field, ensuring that you use capital letters throughout.
4. Indicate your gender by ticking the corresponding box, selecting either 'Male' or 'Female'.
5. Provide your date of birth in the format (dd/mm/yyyy) in the specified section.
6. Include the year you completed your Medical MSc degree.
7. Select your discipline from the provided options: Anatomy, Biochemistry, Physiology, Pharmacology, or Microbiology.
8. Indicate the name of the college you passed from.
9. If applicable, enter the year you obtained your Medical PhD.
10. Fill in your present designation.
11. Provide your official address, including department, institution, city, state, and PIN code. Also, include a mobile number and your email address in capital letters.
12. Enter your residential address similarly, including all relevant details.
13. If you wish to make a donation, indicate the amount next to the specified field.
14. Choose the information you wish to keep private by ticking the appropriate boxes for residential address, mobile, and email.
15. Calculate and summarize the total membership fee and any additional donations. Ensure the total amount is clearly stated.
16. Complete the financial section by filling in the bank details for the payment method you have chosen.
17. Review and confirm that you understand the eligibility criteria and agree to abide by the rules and regulations of the association by signing the undertaking.
18. Fill in the date and place of signing.
19. If you're applying on behalf of someone else, have them complete the recommendation section.
20. Finally, save your changes, download, print, or share the completed form as needed.

Complete your application online today and take the next step towards your membership!