Associate Membership Application

Associate Membership Application - TOSA

Membership

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 : telanganaorthopaedic@gmail.com

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