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Student Application Form

Please fill out this form and submit to AMA (NSW) to commence your free membership

Personal Information  
Full Name:
Home Address:
State:
Postcode:
Date of Birth (DD/MM/YY):
Sex:
Male
Home Phone:
Mobile:
Email:
Would you like to have free Student WebMail set up?
Yes
   
University:
Years of study:
What area of medicine are you hoping to get into after graduation? (If known)
 

 

 

Country Weekend 2008. AMA (NSW) Golf Society presents the Country Weekend 2008 Friday, 5 September – Sunday 7 September.Read more.  
GP Super Clinic Dinner Meeting. 3 September in Grafton, Georgie’s at the Gallery Restaurant. Read more.  

Contact Us...

AMA House, Level 6, 69 Christie Street, St Leonards NSW 2065, Australia
PO Box 121, St Leonards NSW 1590, Australia
Phone: 02 9439 8822 | Fax: 02 9438 3760 | Email Us Now

                               

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