Life Membership

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Associate Membership

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Basic Information

  • Applicant’s Full name
  • Surname with initials
  • Address (Residence)
  • Hospital/Faculty
  • Date of Birth
  • Civil Status
  • Gender



  • MBBS qualified year
  • SLMC Registration Number
  • MD qualified year
  • Board Certification year
  • Documentary evidence of MD certificate/ board certification certificate
  • Name 2 referees having college membership