New Member Application

 

The Honorary Secretary
Obstetrical and Gynaecological Society of Malaysia.

I would like to apply for membership of the Obstetrical and Gynaecological Society of Malaysia and agree to abide by its Rules & Constitution if my application for membership is approved.

Membership is subject to the approval of the OGSM Council. If the application is unsuccessful, payments will be refunded in full.
  • RM20 Per Year For Doctors Who Graduated Less Than Five Years Ago
  • RM50 Per Year For Doctors Holding MRCOG/MOG Degrees or Those Who Graduated More than 5 Years Ago
  • RM1000 for Life Membership
  • RM20 (Entrance Fee, one-time Payment Only)

Particulars

 

Home Address

 

Office Address

 

Contact Information


Qualifications
Degree*
 
Institution*
 
Year Awarded*
 
 
 
 
         
       


Sub-specialty Interest  
General
Fertility & Sterility
Maternal-Fetal Medicine
Gynaecological Endoscopy
Gynaecological Oncology
Office Gynaecology
Urogynaecology
     
Proposer* :
Seconder* :
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