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The Association of Physicians of India
Tamilnadu State Chapter
secretaryapitnsc@gmail.com
+91-98941 39447
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TN API Membership Form
Name
Qualification
University
Year of Passing
Tamil Nadu Medical Council Registration No:
API (Central) Life Membership No:
*
Father / Husband Name
Phone Number
City
District
Select
Chennai
Madurai
Salem
Tirunelveli
Kanniyakumari
Tuticorin
Coimbatore
Dindugal
Kancheepuram
Tanjore
Pincode
Terms & conditions
*
Terms
I hereby declare that the information provided is true and correct, and I agree to abide by the Association's rules and regulations. I acknowledge that the membership fee of Rs.1000 (Rupees Two Thousand only) is non-refundable and that my membership is subject to verification and acceptance by the Association.
I accept the Terms & Conditions.
Photo
Allowed types : .pdf, .png, .doc, .xml, .jpg, .txt, .csv, .webp, .zip, .xlsx
Maximum file size allowed is 500 KB
Please upload your recent passport-sized photograph with a white background.