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APPLYING FOR MEMBERSHIP

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APPLYING FOR MEMBERSHIP

Document Required:

Copy of CNIC
Copy of Internal Medicine Certificate / Degree Terminal Qualification in Internal Medicine
Copy of Valid PMDC /GMC/ Other Licensing Body

Bank Details:

Bank Account Title: Pakistan Society of Internal Medicine
Bank Name: Bank of Punjab.
A/C Number: 6580185450700021.
IBAN: PK10BPUN6580185450700021 (Payment may be processed via Online Transfer/Cash or Cheque Deposit)

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Your Title

First Name

Last Name

Father Name/Spouse Name

Date of Birth

CNIC

Your Title

Last Name

Father Name/Spouse Name

First Name

Date of Birth

CNIC

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Email Address

Phone Country Code

Mobile/Whatapp No

Designation

PMDC/Medical Registration Number

Terminal Qualification In Internal Medicines

Unit Institution

Membership of Other Societies

Proposer/Referrer Name

Propose/Referral PSIM ID

Mailing Address

Postal Code

City

Upload your CNIC

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Internal Medicine Certificate

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PMDC /GMC/ Other Licensing Body

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Attach Deposit Slip

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PSIM Bank Account Details: Bank of Punjab
A/C Title: Pakistan Society of Internal Medicine (PSIM)
A/C Number: 6580185450700021
IBAN: PK10BPUN6580185450700021

I, the undersigned, hereby confirm that the information provided in my application for membership with the Pakistan Society of Internal Medicine (PSIM) is accurate, complete, and truthful to the best of my knowledge.

I understand that submission of my application does not guarantee membership acceptance and that the decision regarding my eligibility and acceptance is at the sole discretion of the PSIM Membership Committee.

I acknowledge that I meet the membership eligibility criteria set by PSIM and agree to adhere to the society’s rules, regulations, and ethical standards.

I further confirm that I will respect the objectives, values, and mission of PSIM and actively contribute to the advancement of the field of internal medicine in Pakistan.

I understand that PSIM reserves the right to verify the information provided in my application and may reject any submission that is incomplete, false, or misleading.

By submitting my application, I agree to abide by the terms and conditions of PSIM membership.

APPLYING FOR MEMBERSHIP

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