ONLINE MEMBERSHIP FORM

Personal Information

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Address (Residence)

Highest Qualification


For Life Membership: Please Attach MCI/ State M.C. Reg. No for Speciality/MBBS/P.G. Training
For Associate Membership: Please attach appropriate council Registration certificate

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Designation with Specialty Work Institute From Date To Date Action
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Declaration : I hereby declare that all the above details are correct. I wish to be a member. I have carefully read the instructions. I shall abide by the Rules, Regulations & Bye-Laws of the Society as in force and any subsequent amendment(s) made from time to time

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Membership Fee

  • 1- Life Member - Rs.2000/-
  • 2- Associate Member - Rs. 1500/-
  • 3- SAARC Nation Member - Rs. 2500/-
  • 4- Non SAARC Nation Member - USD$ 100
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Contact Details

Email: info@traumaindia.org

Phone: 9311625287 (Mon- Fri 10 AM to 04 PM) on working days