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

PayPal

You can pay for your membership subscription via PayPal.

Pay with PayPal

Society Rules

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

Rules PDF - 1.4MB