Medical Computer Society of India |
A-113, Anna Nagar, 3rd Avenue, Chennai - 600 102, India |
www.mcsindia.com email : [email protected] |
Tel : 044 - 26207000, 26263378/79 Fax : 044 - 26263477 |
Membership
Form (Please Fill in CAPITALS) |
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Areas of Interest (Please Tick One or More) | |
1. Medical Education | 2. Telemedicine |
3. Hospital Management Information System | 4. IT Healthcare Security / Legal issues |
5. Health portals | 6. EMR |
7. Imaging Solutions | 8. Healthcae Business Solutions |
9. Medical Transcription / Call centers | 10. Others (Please Specify) |
Membershp Category (Please Tick One) | ||
Type of Membership |
Indiividual | Organisations / Corporates (Upto 3 Nominees) |
2 Years | Rs. 500/- | Rs. 2000/- |
5 Years | Rs. 1000/- | Rs. 3500/- |
(Make Cheque / Bank drafts payable to "MEDICAL COMPUTER SOCIETY OF INDIA" & send it to the above address. List two Referees for your membership with addresses / Telephone Nos and e-mail addresses at the back of this form, otherwise membership will not be considered) |
I will abide by the rules and regulation of the society, if i fail to do so or if do not pay my outstanding dues to the society my membership may be cancelled at any time. |
Place : | |
Date : | Signature |
(Please note you will receive an intimation of your membership status within three to four months of your application) |
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