SLGAMOA | Sri Lanka Government Ayurveda Medical Officer's Association

Membership Registration Application

Membership Registration Details

Type Of Membership

ABSOLUTE (For Ayurweda/Siddha/Unani Mo's or Consultant and Univercity Lecturers/Relavant Doctors in Government Service)

APPERENTICE (For Registered BAMS:IMO's in SL)

Personal Informations

Full Name

Name with Initials

NIC / Passport No

Tittle

Email address

Gender

Date of Birth

Phone Number

Marital Status

Single

Married

Postal Address

Address

Address 2

City

Province

Professional Informations

Designation

Spouse Name

Is spouse a Graduated Ayurveda Doctor?

SLAMC Registration No

Appointment Date

Ayurvedic Degrees

SLGAMOA Registration Date

PG Qualification

Union Registration No

Past Working Place

Working Experiance

Other...(Own Explanation)

Official Address

Address

Address 2

City

Province

I confirm that,I have read and understood Terms and Conditions in SLGAMOA constitution.

By checking this option, you agree to Published in official web and agree to comply with and be bound by www.slgamoa.lk .

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