Please note that you have to make 3 sets of the IMA registration form and follow the below-given instructions.
Fill out the registration form in CAPITAL LETTER only.
Paste 3 passport-size photograph.
Attach graduation degree certificate and PG certificate. if any to all the 3 sets.
Signatures are to be done at 2 designated places in the form.
In the case of Couple Membership, kindly provide a marriage certificate.
2 Cheques are to be made as guided.
Single Life Membership IMA
Couple Life Membership IMA
2 CHEQUE SEPARATE
Cheque 1: NAME: G.S.B.Ι.Μ.Α
Amount: 13,835
Cheque 2: Name: VAPI MEDICAL ASSOCIATION
Amount: 850
2 CHEQUE SEPARATE
Cheque 1: NAME: G.S.B.Ι.Μ.Α
Amount: 20,432
Cheque 2: Name: VAPI MEDICAL ASSOCIATION
Amount: 1290
Single Life Membership IMA
2 CHEQUE SEPARATE
Cheque 1:
NAME: G.S.B.Ι.Μ.Α
Amount: 13,835
Cheque 2:
Name: VAPI MEDICAL ASSOCIATION
Amount: 850
Couple Life Membership IMA
2 CHEQUE SEPARATE
Cheque 1:
NAME: G.S.B.Ι.Μ.Α
Amount: 20,432
Cheque 2:
Name: VAPI MEDICAL ASSOCIATION
Amount: 1,290
Download IMA Registration Form
INDIAN MEDICAL ASSOCIATION FORM
Forms for other schemes of IMA
FAMILY WELFARE SCHEME
SOCIAL SECURITY SCHEME
PROFESSIONAL PROTECTION SCHEME
HEALTH SCHEME - CLAIM FORM
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