PSP Membership Application

MEMBERSHIP REGISTRATIONPakistani Society of Physicians

Join as a MemberMedical Professionals

Personal Information

Full Name *

CNIC Number * Format: 12345-1234567-1

Email Address *

Mobile Number * Enter your mobile number (Pakistani: 03123456789, International: +1234567890)

Date of Birth * You must be at least 18 years old.

Gender *

Address Information

Postal Address *

Permanent Address *

Professional Information

Professional Title / Designation *

Working Position *

Organization / Institution Name *

PMDC Number *

Payment Information

Accepted Payment Methods:

Bank Transfer
Easypaisa/JazzCash

Membership Fee:

Membership Amount: PKR 5000/-
Membership Amount: USD 18/-

Bank Details:

Account Number: 1137941591001375
IBAN: PK13MUCB1137941591001375
Account Title: PAKISTAN SOCIETY OF PHYSICIANS

Upload Payment Receipt *Accepted formats: PDF, Word, Images. Max file size: 1MB

Required Documents

CNIC Copy * PDF or JPG/PNG format, max 2MB

Recent Passport-size Photo * PDF or JPG/PNG format, max 2MB

PMDC Certificate * PDF or JPG/PNG format, max 2MB

CNIC Photo (if different from CNIC Copy) Optional - PDF or JPG/PNG format, max 2MB