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*

Please Note :

1. Once you obtain the Post Graduation Degree / Diploma or on completion of three years of associate Membership which ever is earlier you are entitled to enroll as Life Member of TOSA by paing Rs. 1200 /- and submiting a New Application form.
2. Please attach one passport size photograph and affix one to the application.
3. Associate Membership fee Rs. 2300 /- D.D. in the name of "Treasurer , TOSA ", payable at Warangal
4. Please send the filled application form to the following address.
Whatsapp(9246899108) And MAILID : tosa@deepthisoft.com
paid slip. With required documents send to above mail I’d

Required Documents List :
MBBS ,
TSMC REGISTRATION ,COPY
MS ORTHO
ADDITIONAL QUALIFICATION

AADHARCARD,
PASSPORT SIZE PHOTO
ADDRESS
PHONE NUMBER
,EMAIL ID

Download....

1. Please attach one Passport Size Photograph and affix one to the application

2. a) Life membership fee Rs. 3300 /-

3000/- 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

Required Documents List :

MBBS

TSMC REGISTRATION COPY

MS ORTHO

ADDITIONAL QUALIFICATION

AADHARCARD

PASSPORT SIZE PHOTO

ADDRESS

PHONE NUMBER

EMAIL ID