Existing Members

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New Applicants



Online Submission Form
Title *
Name *
Type of membership applied (plus one time registration fee for new applicants of Rs. 400) *
Annual Member : Rs. 1200 + Rs. 400
Student Member : Rs. 750 + Rs. 400
Annual Member (with ID Card) : Rs. 1450 + Rs. 400
Student Member (with ID Card) : Rs. 1000 + Rs. 400
Life time membership fee - General: Rs.20,000.00 + Rs. 400
Date of birth *
Designation/Occupation *
Name of organization/institution *
Work address *
Home address *
Home number *
Mobile number *
Email ID *
Receive SMS alerts from PSM *
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Blood group
Drug allergies
Name of contact person in case of emergency *
Contact person's relationship to self *
Contact person's mobile number *
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Upload the screen-shot of your payment *
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Verification Code * (Click to refresh image)
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