THE PROJECTED COLLEGE OF GENERAL PRACTITIONERS.

College of General Practitioners

College of General Practitioners

The College of General Practitioners.

College of General Practitioners.

I.M.A. College of General Practitioners.

IMA CGP HQ, IMA BUILDINGS, Doctors Colony, Via.Bharathi Nagar, First Main Road, Off.Mudichur Road, Tambaram West, Chennai-600045 Web Site: imacgpindia.org, Email:[email protected] Tel: 044-29000324, 044-29000325 Application Form for Life Membership (The information will be treated as Confidential) (PLEASE WRITE CLEARLY) NAME :( in block letters) DR...........................................