Membership Application

Complete the application below. You can review and edit your details before proceeding to payment. * Required fields.

Membership Selection

Select membership *

Name *

Father / Husband Name *

Date of Birth *

Age

Gender *

Native District *

Age is calculated from your date of birth.

Present Address *

Permanent Address *

Same as Present Address

Mobile *

Email *

Designation *

Academic Qualification *

MBBS Passed Out Year *

MBBS University / College *

PG University / College *

Upload clear originals. Photos and signatures can be any orientation or dimensions. Existing documents are retained unless replaced.

Photos/signatures: JPG, PNG or WebP. Certificates: PDF, JPG, PNG or WebP. Uploads remain private. Your server's upload capacity applies.

Membership Fee₹5,000.00

GST @ 18%₹900.00

Total₹5,900.00

I confirm the information and documents are accurate.

Technical support: 6281147511 · info@tsos.co.in