RAM Life Membership Registration Form
Keep following ready before filling the Registration form
Passport size colour photograph (.jpg, .pdf, .png only)
Degree / Diploma Certificate OR Students Id card (.jpg, .pdf, .png only)
Debit / Credit card, Paytm OR online payment details
File size limit 2mb each.
All fields are mandatory
Application will not be accepted if documents submitted are not clear in display.
Personal Information
Title
MR.
MRS.
MS.
First Name
Middle Name
Last Name
Mobile (eg: 9892012345)
Email
Residential Address
State
District
City Name
Area/Village & other details,
Please do not repeat the city, district
Pincode
Professional Information
Professional Qualification
Name of the Hospital presently working
Designation
Hospital Address
State
District
City Name
Area/Village & other details,
Please do not repeat the city, district
Pincode
Message
Click to read the RAM byLaws
I have gone through the byLaws of the RAM and I accept the same
