MPAP - Membership Form

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BEFORE YOU START FILLING THE FORM, KINDLY KEEP THE FOLLOWING READY:

1. Payment transaction number with screenshot of payment as proof (need to upload the picture)

2. Scanned passport photo in JPEG format

3. Medical council registration number with date of registration

Personal Info
Educational qualifications with institution & year of completion
MBBS Diploma MD/DNB DM
Professional
College Hospital Private Hospital Individual practice
ICS NCCP ATS ERS IMA Others
Airway Diseases Tuberculosis, HIV and other Infections Interventional Pulmonology Critical Care Sleep Related Breathing Disorders Interstitial Lung Diseases Pleural Diseases Respiratory Allergy Disorders Lung Transplant Thoracic Oncology Pulmonary Vascular Diseases Pulmonary Rehabilitation Palliation & End of life care Thoracic Radiology Paediatric Pulmonology Clinical Research Medical Education
Medical Council Details
Payment Details
Online Transfer
Bank:SBI, AIIMS BRANCH Account Name :M P Association of Pulmonologists
Account No. :43792954874 Account Type :Current Account
IFSC Code: SBIN0016610