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VICE PRESIDENT ELECTION NOTIFICATION
|
APOS 2024, Tirupathi
Membership Form
Medical Council Number
*
Full Name
*
Father's / Husband's Name
*
Age
*
sex
*
select
Male
Female
Other
Date of Birth
*
Native District
*
Institute/Hospital
*
Permanent Address
*
Location
*
select
Local (In Andhra Pradesh)
Non-Local (Outside of Andhra Pradesh)
City
*
State
*
Pincode
*
Mobile
*
Email
*
Password
*
Confirm Password
*
Designation
*
Academic Qualification
*
Year of Passing MBBS
*
PG: MS. DO. DNB
*
Year of Joining in PG Ophthalmology / Diploma
*
Photo
*
Aadhaar Front Photo
*
Aadhaar Back Photo
*
MCI Registration Certificate
*
MBBS Certificate
*
PG Certificate/ HOD Letter
*
Proposure Mobile No.
*
Proposure Name
*
Proposure Email
*
Secoundary Mobile No.
Secoundary Name
*
Secoundary Email
*
Amount
*
INSTRUCTIONS
1. The Society reserves all rights to accept or reject any application
2. The form should be filled completely and take a print out after completion
3. SMS and email will be sent to proposer and seconder (only APOS members). The application will go forward only after acceptance by proposer and seconder. (you can resend the sms/email to proposer or seconder if required.
4. After uploading the required certificates – secretary’s office will check the certificates and activate payment button – you will receive a sms/email to pay the membership fees.
5. Every new member will initially be provisionbally admitted and shall be deemed to have become a full member only after formal ratification by the general body and issue of ratification order by the society. Only then he or she will be eligible to vote or apply for any Fellowship/award propose or contest for any election of the society.
6. Documents to be attached
1. Copy of Degree (MBBS and postgraduation)
2. Medical Council Registration Certificate
3. ID Proof (adhar card/pan card/voter id/driving licence)
8. After making the payment send the printed application form along with photocopies of the documents and payment receipt to the APOS secretary’s office