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TOA Member Registration
TOA Membership Registration
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Name
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First
Last
Mobile Number
*
Email
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MMC Registration Number
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City/Area (copy)
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Address
Documents Required:
Passport size photo (1)
MBBS Degree certificate
Degree/Diploma certificate
MMC certificate (Latest)
MMC Additiional qualification certificate
PAN Card
Aadhar card (address proof)
Duly filled TOA registration form (signed with stamp)
Cheque /Bank transfer of Rs 5000 in favour of THANE ORTHOPAEDIC ASSOCIATION
Kindly send the above self attested Xerox copies of documents with duly filled TOA Registration form to the TOA address. Dr Rahul S. Deshpande, ‘Rup-Manjiri’ Bunglow, Rd no 1, besides Railadevi Mandir, MIDC Colony, Wagle Estate, Thane – 400604 | Tel.: 022 5821182 | Email: rdcool72@gmail.com
Registration Fees – Rs 5000
NEFT/Bank Transfer
Cheque
Please transfer amount by NEFT to TOA account and share the reference number or screenshot on rdcool72@gmail.com. Bank details for NEFT: Name: Thane Orthopaedic Association | Account Number: 003501153447 | Bank: ICICI Bank | IFSC Code: ICIC0000035
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