Optometrist Association Gujarat Membership Application Form

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Introduction :
Optometrist Association Gujarat is a not for profit professional association for Optometrists, established to uplift the Optometry profession and support its members in all professional endeavors.

Instructions :

  • This form is application to obtain annual membership of Optometry Association Gujarat.
  • Board of association reserves all the rights to approval or disapproval of membership.
  • A completed application will be processed for approval once the registration fee is paid.
  • A total of INR 2000/- is to be paid for first time (500 registration fee + 1500 for 3 Years Membership).
  • Subsequent renewal would need only membership fee.
  • Need to upload the supportive documents mentioned in the form.

INR 2000/- to be paid in the following account. This amount includes 500 onetime registration charges and 1500 membership fee for 3 years.

Payment to be made in

Account holder’s name OPTOMETRIST ASSOCIATION GUJARAT
Bank / branch STATE BANK OF INDIA, MTHAKHALI BRANCH, AHMEDABAD
Current Account No. 40968932898
IFSC Code SBIN0003792
UPI ID 9825569030@sbi