Fill in the following form if you are a practising medical professional in Auckland and you are of Indian ethnic origin. Partial membership is also available to medical students of Indian origin.

The membership fee is 25NZD for  practising medical professionals and 10NZD for medical students. You will be invoiced for this amount if you decide to join us.

 

Are you an exising member wishing to update your details?*

No, I'm NOT an existing member, I would like to join!
I am already a member, please update my details. 

 

Professional Status *
Your email address *
Your full name*
Address of Practice
Mailing Address *
Suburb *
City *
Telephone * 
FAX
Mobile
Date of Birth
Sex *
Vegetarian
Marital Status
Spouse Name
Speciality
Interests
Country of Origin
Other languages
Medical degree from
 Create Login (<8 characters, no spaces etc) [read note]*
Set Password(<8 characters, no spaces etc) [read note]*
Update emails Yes, I would like to recieve emails regarding AIMS
Your Comments

 *Fields with asterisk are mandatory fields 

NOTE: login and password fields are required, They allow you to choose what you would like as your login name and password, however this has not been implemented yet. In the future you will be able to directly update your membership details etc, by using this login and password!