Membership Registration Form
Download Form
Instructions
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The Society reserves all rights to accept or reject any application.
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The form should be filled completely in capital letters.
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To be proposed and seconded by HPOS Ratified Life Member only.
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Every new member will initiallybe provisionally admitted and shall be deemed to have become a full member only after formal ratification by the General Body.
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Resident doctors must submit proof of residency certificate issued by head of the Department.
Membership Fee
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Life membership fee Rs. 2500/-
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Associate membership fee Rs. 1500/-( for Resident Doctor /Post Graduate students .
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Payment to be made through Bank Draft only.
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The application form should be complete in all respects and accompanied by a Demand Draft of Rs. 2,500/- in favor of"HPOS" payable at PNB The Mall Shimla.
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Fee can also be deposited online.
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Name of Bank : Punjab National Bank Shimla, The Mall
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Account No. : 0375010100006496
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IFSC Code : PUNB0042700
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MICR Code : 171024002
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Documents to be attached with application form:
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Copy of Degree MBBS/MD/MS/DNB/D OMS.
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Proof of residence Aadhar/Passport/DL
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One colored photograph to be pasted on the form.
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One colored photograph to be attached with form.
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Residency certificate in case of Resident Doctor.
Address for sending application form :
Dr. Vinay Gupta, Associate professor Department of Ophthalmology
Indira Gandhi Medical College , Shimla.171001
Contact Details :-
9418110161
Email :-
drvinay66@gmail.com
