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I have read carefully the rules and egulations of the Academy before filling this form.
I hereby solemnly and sincerely declare that to the best of my knowledge and belief, the above particulars given by me are true and correct.
Subject to the approval of the Governing Body in an ordinary or a special meeting, I agree to become a member and if admitted, to abide by the Rules and Regulations of the Academy.
I understand that the Academy may decide not to continue my membership any time in future and that I shall not be entitled to refund of any fee or any compensation due for damage caused to me or my reputation.

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FOR PAYMENT OF DUES:
Life-Membership Fee: Rs. 8100 /-
A/C Name : United Academy of Pulmonary Medicine
Account No. : 668020110000602
IFSC Code: BKID0006680
Swift Code : BKIDINBBUDP
Bank & Branch: Bank of India, Udaipur Branch
The membership is life-long and benefits include: Participation in Academy activities i.e. conferences, workshops, CMEs, and General Body meetings, free subscription/access to Academy publications and bulletins including UAPM Journal of Respiratory Diseases and Allied Sciences, consideration for fellowship of the Academy as per prevailing norms, organizing workshop/seminars/ other academic activities under the banner of the Academy after approval.

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I have read carefully the rules and regulations of the Academy before filling this form. I hereby solemnly and sincerely declare that, to the best of my knowledge and belief, the above particulars given by me are true and correct. Subject to the approval of the Governing Body in an ordinary or a special meeting, I agree to become a Fellow and if admitted, to abide by the Rules and Regulations of the Academy. I understand that the Academy may decide not to continue my Fellowship any time in future and that I shall not be entitled to refund of any fee or any compensation due for damage caused to me or my reputation.

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For Payment of Dues:
Life-Fellowship Fee: Rs. 15,000 /-
A/C Name : United Academy of Pulmonary Medicine
Account No. : 668020110000602
IFSC Code: BKID0006680
Swift Code : BKIDINBBUDP
Bank & Branch: Bank of India, Udaipur Branch

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