Life Membership Application

Membership

Name of the Candidate

Preferred name in Printing

Date of Birth

MBBS - Year - College

D.Ortho - Year - College

M.S. Ortho - Year - College

Any Other Qualifications

Presend Position

Permanent Address

Office Address

Residential Address

Mobile Number

Fax

Repeat Email

Website

To Which address the mailing is preferred

Permanent
Office
Residential

Are you member of IOA - If YES furnish details

Are you already a member of Telangana Chapter of IOA - If YES - Furnish Details

Any other information the candidate wishes to furnish

Details of Subscription Rs.

UPI Transaction No.

Date

Bank

Branch

Bank Payment ScreenShot

Degree Certificate

PG Certificate

TS Registration Certificate

Attach Passport Size photo

Please Note:

1. Please attach one Passport Size Photograph and affix one to the application 2. a) Life membership fee Rs. 5000/- b) Drafts only in the name of "Treasurer, TOSA ", payable at Warangal. 3. Please send the filled application form to

Whatsapp(9246899108) And MAILID : telanganaorthopaedic@gmail.com

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

I agree

Download....

Greetings from TOSA!

We are writing to you to invite you to join our prestigious organisation, which is dedicated to promoting excellence in orthopaedic service and education in Telangana.

TOSA is the 22nd chapter of the Indian Orthopaedic Association (IOA) and has more than 800 life members from all districts of Telangana. As a life member of TOSA, you will enjoy the following benefits:

- Receiving communication regarding various academic activities

- Eligibility to present scientific papers in conferences of TOSA

- Eligibility to vote in the elections of TOSA and to participate in the General Body Meetings

- Concession in the delegate fee for the conferences

- Eligibility to contest in the elections

- Eligibility to receive the TOSA journal (Annual Publication)

- Eligibility to receive TOSA news letters

- Eligibility to apply for the IOA membership

Required Documents List for Apply Life Membership

1. MBBS Certificate

2. PG Certificate

3. Additional Qualification

4. Aadhar Card

5. TSMC Registration Certificate

6. Passport size Photo

7. Complete Address

8. Email Address

9. Mobile Number

10. Payment Screen Shot

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

FEE : 5000/- Rs. ( Five Thousand Rupees Only )

Please send the filled application form to the following address.

Account Name : TOSA

A/c : 62439296497

IFSC Code: SBIN0021119

Whatsapp(9246899108) and

MAILID : telanganaorthopaedic@gmail.com

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