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To fill out this form, ensure you provide accurate details in each required field. Carefully follow the instructions to complete each section. Make sure all necessary signatures and membership numbers are included.

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How to fill out the Indian Medical Association Nomination Form 2023 Election?

  1. 1

    Enter the required candidate details in the designated fields.

  2. 2

    Provide the membership numbers and other relevant details.

  3. 3

    Include accurate information for the proposer and seconder.

  4. 4

    Attach the necessary photographs and signatures.

  5. 5

    Review and verify the completed form before submission.

Who needs the Indian Medical Association Nomination Form 2023 Election?

  1. 1

    Candidates looking to contest for a position in the Indian Medical Association elections.

  2. 2

    IMA Local Branch officials required to nominate candidates.

  3. 3

    Proposers and seconders supporting a candidate’s nomination.

  4. 4

    IMA members needing to verify candidate details and criteria.

  5. 5

    Election committee members validating the nomination forms.

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What are the instructions for submitting this form?

To submit this form, ensure all fields are accurately filled and necessary signatures are included. Email the completed form to the provided IMA branch email address or submit it through the online submission form on the IMA website. Forms can also be faxed to the IMA Tamilnadu State Branch office or mailed to their physical address. My advice: Double-check all information, retain a copy of the submitted form, and ensure submission well before the deadline to avoid any disqualification or delays.

What are the important dates for this form in 2024 and 2025?

The important dates for this form include the election period for the years 2024 and 2025 and the submission deadlines for nominations.

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What is the purpose of this form?

The purpose of this form is to facilitate the nomination process for candidates in the Indian Medical Association (IMA) Tamilnadu State Branch elections for the years 2024 and 2025. It ensures that candidates provide all necessary information, including personal details and IMA membership credentials, and confirms their eligibility to contest for a specific position within the association. By accurately filling out and submitting this form, candidates can officially enter the election process, allowing for a structured and organized selection of office bearers.

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Tell me about this form and its components and fields line-by-line.

This form comprises sections to capture candidate information, membership details, proposer and seconder details, and state council meeting attendance.
fields
  • 1. Name of the Post: Indicates the position the candidate is contesting for.
  • 2. Name of the Candidate: Full name of the candidate contesting for the position.
  • 3. Age: Candidate's age.
  • 4. IMA Membership No.: Unique identification number associated with the candidate's IMA membership.
  • 5. Branch: IMA branch the candidate is associated with.
  • 6. Member Since: Date since when the candidate has been an IMA member.
  • 7. NO. of SCM attended: Number of state council meetings attended by the candidate.
  • 8. Address: Physical address of the candidate.
  • 9. City: City where the candidate resides.
  • 10. Pincode: Postal code associated with the candidate's address.
  • 11. Phone: Candidate's phone number.
  • 12. Cell: Candidate's mobile number.
  • 13. E.mail: Candidate's email address.
  • 14. PPLSSS Membership No.: Membership number for the Professional Protection Linked Social Security Scheme (PPLSSS).
  • 15. Photo: Photograph of the candidate.
  • 16. FSS Membership No.: Family Security Scheme (FSS) membership number.
  • 17. Membership No. in CGP, AMS, NHB: Membership numbers in College of General Practitioners (CGP), Academy of Medical Speciality (AMS), and Nursing Home Board (NHB).
  • 18. Positions held in: Past positions held by the candidate in various IMA branches and years.
  • 19. Name of the Proposer: Name of the person proposing the candidate.
  • 20. Name of the Seconder: Name of the person seconding the candidate's nomination.
  • 21. IMA / NHB Membership No.: IMA or NHB membership numbers of the proposer and seconder.
  • 22. Signature of Proposer: Signature of the person proposing the candidate.
  • 23. Signature of Seconder: Signature of the person seconding the candidate's nomination.
  • 24. Name of the President: Name of the current IMA local branch president.
  • 25. Name of the Secretary: Name of the current IMA local branch secretary.
  • 26. Signature of the President: Signature of the current IMA local branch president.
  • 27. Signature of the Secretary: Signature of the current IMA local branch secretary.
  • 28. State Council Meeting Attendance: Records of state council meetings attended by the candidate.

What happens if I fail to submit this form?

Failure to submit this form can result in the candidate's ineligibility to contest in the election. It may also cause delays in the election process.

  • Disqualification: The candidate will not be eligible to participate in the election.
  • Delay in Election Process: Lack of necessary candidate data can delay the election proceedings.
  • Invalid Nomination: Submission of incomplete or incorrect information can invalidate the nomination.

How do I know when to use this form?

Use this form when you’re applying to contest for a position in the Indian Medical Association Tamilnadu State Branch elections. It is also used for verifying candidate eligibility and membership details.
fields
  • 1. Candidate Nomination: When an IMA member wants to contest for an election position.
  • 2. Proposer/Seconder Verification: When verifying the details of the proposer and seconder supporting the nomination.
  • 3. Membership Confirmation: To confirm IMA membership and past positions held.

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Indian Medical Association Nomination Form 2023 Election

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