IMA CBE Life Membership Form (Single / Couple)
Requirements
- Passport Size Photo 2 Nos.
- Degree Certificate Xerox 2 Nos. Self attested
- Medical Council Registration certificate Xerox 2 Nos. Self attested
- Aadhar Card Xerox 2 Nos Self attested
- Fees Single Rs.20,355/- & Rs.12,980/- (Separate cheque)
- Couples Rs.31,211/- & Rs.18,880/- (Separate cheque)
- Cheque in favour of “Indian Medical Association, Coimbatore”
- Cheque for Minimum Rs.1,000/-(for single) Rs.2,000/- (for Couples) in the name of
“CIMACT” or “Coimbatore IMA Charitable Trust”. - For CME Cr.Hours Rs.750/- (Per person) “Indian Medical Association, Coimbatore”
(If required by the member)
