Life Membership Form

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.
    R

    Thank You!

    Your membership application has been successfully submitted. Our team will review your details and process your application.

    Once your membership is approved, you’ll receive confirmation with your membership details and QR code.