Apply online for NMMTA life membership

The following declarations are compulsory.

I have pursued my Medical M.Sc from a recognized medical college.

I do not hold a MBBS degree.

I have a digital copy my medical M.Sc degree certificate in image format.

I have a digital copy my graduate degree certificate in image format.

I have a digital copy my passport size photograph.

Provisional degree certificate is temporary, my account may be suspended if I don't submit degree certificate within one year.

My membership may be revoked if I have hidden or misrepresented any fact.

Registration details

Title:

Full Name:

Email ID:

Mobile number:

Membership fee:

Donation:

Our VPA & QR code for UPI Payment:

Note: Pay and note the transaction/reference number
Take screenshot of successful payment

Bank details:

Account name: National M.Sc Medical Teachers Association
Bank: Union Bank of India
Branch: Perundurai
Account number: 629102010002286
IFSC code: UBIN093173
Account type: Savings.
Note: Pay and note the transaction/reference number
Take screenshot of successful payment

Payment method:

Valid.

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Proof of payment:

Valid.

Please attach screenshot of payment.

Transaction Reference Number:

Valid.

Please enter transaction reference number.

Transaction Date:

Valid.

Please enter transaction date.

PAN number (aadhaar, if PAN not available):

Valid.

Please provide PAN; aadhaar, if PAN unavailable.

Your passport size photo (JPG/PNG/GIF only):

Valid.

Please upload your passport size photo.

Date of Birth:

Valid.

Please enter your DOB.

Gender:

Graduate degree:

Subjects in graduate course:

Valid.

Please enter the subjects of your graduate course.

Graduate degree certificate (JPG/PNG/GIF only):

Valid.

Please upload your graduate degree certificate.

Subject:

Medical college of M.Sc course:

Year of passing medical M.Sc:

Valid.

Please fill out this field.

Medical M.Sc degree certificate (JPG/PNG/GIF only):

Valid.

Please upload your M.S degree certificate.

Medical Ph.D (if acquired) in the year:

Ph.D degree certificate (JPG/PNG/GIF only):

Complete official address:

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Please enter your complete official address.

Complete residential address:

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Please enter your complete residential address.

Present designation/post:

State where currently working/residing:

National M.Sc Medical Teachers' Association® (NMMTA)

West Nathu Colony, Shahdara, Delhi-110093

Reg. District East/Society/660/2013 by Registrar of Societies, District East, Government of Delhi

Life Membership Application

The following declarations are compulsory.

Verification and payment.

Registration details

Preview & Submit

National M.Sc Medical Teachers' Association® (NMMTA)

West Nathu Colony, Shahdara, Delhi-110093

Reg. District East/Society/660/2013 by Registrar of Societies, District East, Government of Delhi

Life Membership Application

The following declarations are compulsory.

Verification and payment.

Registration details

Preview & Submit

Preview of your application