Fellow Membership

A gathering of mindful doctors

1. Updated PRC
2. Diploma from College or University
3. Certificate of Residency
4 Filled Up Membership form
5. 2×2 picture

Email(Required)

Name(Required)

First Middle Surname

Contact Number(Required)

Birth Date(Required)

Gender(Required)

Male

Female

Nationality(Required)

Civil Status(Required)

Home Address(Required)

Street Address City Region / Province ZIP / Postal Code Country

Diploma from College or University (please upload in image or pdf format)(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

PRC No.(Required)

PRC ID (please upload your PRC ID in image or pdf format)(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

Specialty / Discipline(Required)

Certificate of Residency Training (please upload in image or pdf format)(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

Hospital / Clinic Address(Required)

Street Address City Region / Province ZIP / Postal Code Country

Formal Picture or 2x2 (please upload in image format)(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

PMA No.(Required)

Endorsement from 2 fellow members of IAMS(Required)

Upon payment, upload your proof of payment here or send thru email at [email protected]

Proof Of Payment(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 2.

Signature(Required)