Friends of GMC Registration

Registration Form

Membership Type*

Please select a category.

Name of the Applicant*

Name is required.

Father's/Husband's Name*

Blood Group*

Blood Group

Qualification*

Alumni/Ex-Faculty/Present Faculty/Spouse*

Please select a category.

In case of GMC Jammu Alumni (Year of passing out)

In case of Ex-Faculty/Present Faculty (Designation & Department)

Recent Coloured Passport Photograph* File size should not exceed 50 KB.

Please upload a photograph (Max 50 KB).

Country*

Country is required.

State*

State is required.

City*

City is required.

Address*

Address is required.

Pin code*

Pin Code is required.

Email*

Please enter a valid email.

Mobile Number*

Please enter a valid 10-digit mobile number.

Mode of Payment*

Please select mode of payment.

Cheque / Demand draft No

Name of Bank

Branch

City

Amount

Transaction ID

Life Membership Fees: Rs 5000.00 (plus GST 18%): Rs 5900.00
Associate Membership Fees: 3000.00 (plus GST 18%): Rs 3540.00
Payment may be made through cheque/demand draft favoring “Friends of GMC Jammu” payable at Jammu or online via NEFT/UPI as per the details mentioned below:
Bank: J&K Bank, Branch: Medical College Jammu, IFSC Code: JAKA0MEDJAM
A/c No: 0373040100022372
UPI code: JKBMERC00417945@jkb (Please mention your name during UPI transaction)

MBBS Certificate File size should not exceed 100 KB.

Please upload an MBBS certificate (Max 100 KB).

J&K Medical Council Registration Certificate File size should not exceed 100 KB.

Please upload a registration certificate (Max 100 KB).

Proof of being GMC Jammu Faculty File size should not exceed 100 KB.

Remarks (if any)