Life membership form

Please take a moment to fill out the Form

    University Year
    MBBS
    MD
    Fellowship/DM
    Others
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    Scan to Make Payment

    Please scan the QR code below using your preferred mobile banking or digital wallet app to complete your payment.

    Payment QR Code

    After payment: Save a screenshot or receipt and upload it as your voucher before submitting the form.

    Accepted payment apps include eSewa, Khalti, Fonepay, and other QR-supported banking apps.