Registration Form for Symposium / Workshop / PUGA Membership

PUGA Membership Registration

Title

First Name

Middle Name

Last Name

Present Address

Permanent Address

E-mail Address

CNIC

PMDC#

Mobile Number

Consultants Registration Fee

PUGA Membership fee $100/- for International MembersLife Member Rs. 8,000/- only for Consultant

Life Member Rs. 5,000/- only for Senior Registrar & RMO

Kindly upload your bank voucher for payment verification of membership fee/renewal. Membership fee on account payable to Pakistan Urogynaecologist Association.

Account Details: 
Bank: Habib Metropolitan Bank Ltd. 
Branch: Rashid Minhas Road Branch. 
Account Title: Pakistan Urogynecologists Association. 
Account#: 6-99-72-29301-714-163524. 
IBAN#: PK23MPBL9972177140163524.

Upload Your Picture

Upload CNIC / Passport Copy

Upload Bank Payment Voucher

PUGA Secretariat:

Pakistan Medical Association House, 
Sir Agha Khan III Road, 
Karachi - 7440. 
Phone: 021-32251159 
Fax: 021-32231534 
Email: [email protected] / [email protected] 
Website: PUGA Official Website

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