Membership Application - Batticaloa Medical Association

Membership Application Form

Personal Information

Name in Full *

SLMC Registration Number *

Institution/Hospital *

Contact Information

Address *

Primary Contact Number *

Secondary Contact Number

Email Address *

Membership Type

Select Membership Category *

Payment Information

Payment Date *

Paid Amount *

Payment Slip/Receipt * Upload clear scan of your payment receipt (PDF, JPG, PNG)

I agree to abide by the rules and regulations of the Batticaloa Medical Association

Membership Benefits

Ordinary Members

Eligibility: MBBS, BDS or equivalent qualification holders

Monthly Fee: LKR 350/-

Annual Fee: LKR 3,000/-

Life Members

Eligibility: Available to Ordinary Members

Fee Structure:

Medical Officers/Lecturers: LKR 10,000/-
Consultants/Professors: LKR 15,000/-

Honorary Fellows

Eligibility: Significant contributors to health/medical practice

Selection: Elected by Council resolution

Overseas/Visiting Members

Eligibility: Medical professionals abroad or temporarily in Sri Lanka

Annual Fee: 50 USD

Student Members

Eligibility: Medical students recognized by SLMC

Annual Fee: LKR 500/-

Bank Account Details

Account Holder:

Batticaloa Medical Association

Account Number:

2698724

Account Opened:

15-07-2001

Account Type:

Current

Bank Name:

Bank of Ceylon (7010)

Branch:

Batticaloa (012)

BMA Membership Application