UMA Payment Portal

UMA Membership Registration

First Name*

Last Name*

Phone*

Age*

Email*

Address*

Gender*

Marital Status*

Next of Kin (Relationship)*

Next of Kin Telephone Contact*

UMA Branch/Region*

Name and Address of Employer/Business*

UMDPC Registration Number

Category*

Area of Specialization

Membership Type*

Referee (Must be a registered UMA member)*

1st Referee's Telephone Contact*

2nd Referee's Telephone Contact

Passport Size Photo You must keep your head straight and your face forward. Max 10 MB.

Digital Signature (White background) Must have a white background. Max 10 MB.

National ID* Maximum file size is 10 MB.

Annual Practicing License/Student Admission Letter Required for registered doctors/medical students. Max 10 MB.

Registration Summary

Please review your information before submission

Personal Information

Name:

Email:

Phone:

Age:

Address:

Gender:

Marital Status:

Next of Kin:

Next of Kin Phone:

Employment Information

UMA Branch:

Employer:

Category:

UMDPC Number:

Specialization:

Membership Information

Membership Type:

Referee:

Referee Phone 1:

Referee Phone 2:

Documents

Photo: Not Uploaded

Signature: Not Uploaded

National ID: Not Uploaded

License Document: Not Uploaded

UMA Number: Will be generated after submission