Associate Membership Application

Associate Membership Application - TOSA

ASSOCIATE MEMBERSHIP APPLICATION FORM

Name of the Candidate*

Preferred Name in Printing

PHOTO*

Qualifications*

Year

College

Any Other Qualifications

Year of Joining in Post Graduation and name of the College

Permanent Address*

Present Address

Mobile NNumber

Fax

Email ID*

Repeat Email ID*

Website

UPI Transaction No.*

Date*

Bank *

Branch*

Letter From the HOD to be Attached*

MBBS Ceritificate*

Bank Payment Slip*

Download....

For Associate Membership Required Documents List

1. Mbbs CERTIFICATE

2. TSMC REGISTRATION CERTIFICATE

3. Bonafide study certificate from HOD

4. Passport size photo

5. Bank payment slip for 3500/-

6. Aadhar card

7. Complete address

8. Email Id

9. Mobile number

3500/- for PG ASSOCIATE MEMBERSHIP (bonafide certificate by HOD ) mandatory.

b) Drafts only in the name of "Treasurer, TOSA ", payable at Warangal

3. Please send the filled application form to the following address.

Account Name : TOSA

Account Number :

62439296497

IFSC Code: SBIN0021119

Whatsapp(9246899108) and

MAILID : tosa@deepthisoft.com

paid slip. With required documents send to above mail I’d