Document

Pakistan Chest Society - Membership Registration

Full Name (as on Medical Register) *

Gender *

CNIC / Citizenship Number *

DOB *

Email *

Cell No (With Contry Code) *

Country of Practice *

Country (Please write)

Whatsapp No (With Contry Code)

City of Practice (Please Write) *

Correspondence Address *

PMDC/Medical Regitration Number *

Professional Category *

Select One:

Medical Doctor

Respiratory Nurse

Respiratory Physiotherapist

Respiratory Technition

Respiratory Technition (Interventional Pulmonology)

Academic Position

Select One:

Professor

Professor (Retd)

Assoc Professor

Assoc Professor (Retd)

Asst Professor

Asst Professor (Retd)

Other

Membership Duration

Chapter-Region

Note

Read guidelines below

1) Applications working in Pakistan can be the member of chapter/province where they are practicing/living

2) Application from Armed Forces (serving/retired) irrespective of the site of the practice can be member of Federal Chapter Only

3) Applications working/living in Rawalpindi, Islamabad, Giligit Baltistan, Azad Jammu Kashmir can be member of Federal Chapter Only

4) Applications working outside Pakistan can choose any chapter according to the their preference

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Supervisor Certificate (Only for Trainees)

UnderTaking

I hereby undertake that I shall abide by the constitution and bylaws of Pakistan Chest Society in true spirit and shall comply with the decisions taken by the cabinets, governing council and general body as per provision of the constitution. In case of any conflict, I shall accept decision of the governing council and/or governing body and shall not challenge it in any court of law.