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Fellowship Form

Association of Emergency Medicine Educators application for fellow status.

Fellowship Application

PLEASE READ ALL THESE INSTRUCTIONS CAREFULLY

The application fee for becoming the Fellow of AEME is ₹2000. AEME membership is mandatory.
If you have any questions regarding your eligibility, kindly contact AEME before submitting your application, as your application fee is nonrefundable.

 

(As you would like it to appear on your certificate)
(telephone number)
(As provided by AEME while becoming the member)
(e-mail address)
 


 

Home Address
Home Address
City
State/Province
Zip/Postal
Country
Hospital Address
Hospital Address
City
State/Province
Zip/Postal
Country
Preferred address:
 


 

ACLS Certification
ATLS Certification
PALS Certification

Maximum file size: 268.44MB

 


 

AEME Fellow Status identifies you as a leader in emergency medicine and in your community.

The information you provide below will help us provide you with the opportunity to use your skills and talents at the chapter and national levels of the College.

Send me information on
I’m interested in the following
 


 

The AEME Bylaws require a candidate for fellow status to fulfill the following:

At least 5 years of active involvement in emergency medicine as the physician's main professional activity, inclusive of residency training. (All fellows must fulfill this requirement.)

 


 

Satisfaction of at least three of the following individual criteria during their professional career.

1. Active involvement, beyond holding membership, in voluntary health organizations, organized medical societies, or voluntary community health planning activities or service as an elected or appointed public official.

 


 

Kindly pay Rs 2000 and Book your Fellowship.
Please scan the QR code or pay to UPI ID associationofemergen.62639745@hdfcbank 

Maximum file size: 1MB

 


 

Consent