Financial support for doctors and
medical students in Norfolk

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Payment is via Direct Debit or PayPal

Doctors Membership is £15.00 per annum.

Please complete all fields.

Forename(s)/given name(s)

Surname/family name

Telephone number

Email address

Home address

Date of Birth

GMC Number

Year of Qualification

Year of commencing work in Norfolk

Work Address

We require a proposer, or supervisor/senior colleague's details to help us verify your application.

Proposer's name

Proposer's email address

Proposer's work address


You can pay for your membership subscription via PayPal.

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Society Rules

View the rules of the Norfolk & Norwich Benevolent Medical Society.

Rules PDF - 1.4MB