Home/Membership Registration Membership Registration Membership RegistrationNameSurnameFather NameGender- Select Gender -MaleFemaleDate of BirthEmailPermanant AddressCurrent AddressProvince- Select Province -BadakhshanBadghisBaghlanBalkhBamyanDaykundiFarahFaryabGhazniGhorHelmandHeratJowzjanKabulKandaharKapisaKhostKunarKunduzLaghmanLogarNangarharNimrozNuristanPaktikaPaktiyaPanjshayrParwanSamanganSar-e PulTakharUruzganWardakZabulCityAMC NoMobile NumberWhats App NoTazkira NoBlood GroupField of StudyGraduation InstituteGraduation YearJob and TitleSpecialityAffilation with any other profissional medical association *Membership choiceMembership ChoiceEducationGlobal OpportunitiesNetworkingMentoringHajj and UmrahNational and International Convention/Scientific AssemblyMembership Type- Select Membership Type -StudentTrainer I have read and understand the terms and conditions of this registration form. I voluntarily agree to these terms and conditions and I understand that my membership in the AIMA is contingent upon my compliance with these terms and conditions.Submit Form
