AMMA Membership Registration Form

In the name of Allah the Gracious, the Merciful
Why become a member?

1. To help understand and implement the wishes of Khalifatul Masih pertaining to Ahmadi Medical Professionals. 2.To network among US and international Ahmadi Medical Personnels. 3.To participate in the governance of the Association.
Personal Information

Personal and professional information will not be shared with any 3rd party organizations. This information is for AMMA use only in order to better understand our memberships demographics and expertise.
Member Name*

FirstLast
AMI Member ID*
USA Jama'at Member ID
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail*
Are you a part of the Waqf-e-nau initiative?

YesNo
Professional Information
Work Address:

Street Address Line 1

Street Address Line 2

CityState

ZipCountry
Are you a..?*

Practicing Physician (MD, MBBS, DO, DDS, DPM)Allied Health Professional (including Homeopathic)Residents & FellowsStudentRetired Physicians
Primary Specialty*
Subspecialty*
Additional Subspecialty Information
Medical Facility Affiliations:
Administrative Tittle(s):
Volunteer
Would you be interested in Mentoring Students?*

YesNo
Field interested in Mentoring
Would you be willing to mentor and help Waqf-e-nau students with observerships, residency, etc.

YesNo
Would you be willing to assist FMGs?

YesNo
With Rotations, Shadowing or Clinical rotations

YesNo
With Residency?

YesNo
Would you be interested in waqf-e-arzi?*

YesNo
By clicking the "Submit" button you are submiting your online application and will be re-directed to Ahmaidyya Muslim Community Chanda pay portal to submit your payment. The link is included for your reference below.

Once we recieve your payment, we will contact you about your Membership and additional information.

Thank you!
Annual & Lifetime Membership Options
1. Practicing Physician - $500 - MD, MBBS, DO, DDS, DPM
2. Allied Health Professional - $100.00 - including Homeopathic
3. Resident / Fellow Physician - $100.00 - Residents and Fellows currently in training
4. Student Membership - $25.00 - Administrative Fee Only
5. Existing Lifetime Membership - $25.00 - Administrative Fee Only
6. Lifetime Membership - $7,500.00 - Lifetime AMMA Membership
By submitting this membership application and paying your dues you agree to all AMMA US bylaws and regulations. You may visit https://ammausa.org for additional information. You also agree to be included in the official AMMA WhatsApp group for communication will adhere to all guideliness setforth. AMMA USA reserves the right to modify and update its constitutional bylaws at any time and will do its best to notify all registered and paid members of the upcomnig changes.
You must complete payment process to fully register.
Contact Us
AMMA USA
15000 Good Hope Road
Silver Spring, MD 20905

President: Fizan Abdullah - AMMA.President@ahmadiyya.us
Vice President: Naeem Lughmani - AMMA.VP@ahmadiyya.us
General Secretary: Mubashir A. Mumtaz - AMMA.GS@ahmadiyya.us
Finance Secretary: Nasir Tanauli - AMMA.Finance@ahmadiyya.us
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Why become a member?

Personal Information

Professional Information

Volunteer