EDICAL LAB. TECHNOLOGISTS ASSOCIATION OF PAKISTAN (MLTAP)
CERTIFYING EXCELLENCE IN DIAGNOSTIC & RESEARCH
HEAD OFFICE: House # B-24, Rawal Dam Colony, Islamabad- 44000, Pakistan. Cell:+923005293705
REGIONAL OFFICE: Technologist House, House # 03 Main Street, Qazafi Colony Near Uniliver Pul, Rahim Yar Khan - 64200, Punjab, Pakistan. Tel: +92-68-5874610 Cell: +92-333-5216610
Web: www.mltap.com.pk e-mail: firstname.lastname@example.org
Registration Form for the Membership of MLTAP
Father’s Name: ____________________________________________________
Ph. ______________ Mob. ________________ Fax: ____________________
Ph. ___________________ Fax: _____________________________________
Medical Technologist: By Designation / By Qualification (Select One)
Registration Type Applied for: 5 years / Associate / Student (Select One)
For Official Use Only
I.D. __________________ Date: _______________ Fees: Rs.__________/-
Reg. No. ______________
Do not misuse the name of association at any forum.
Abide by all the decisions taken by the executive body.
Do not take part in any illegal activities being a member of the association.
Make it compulsory to attend all the meetings called by the association.
It is mandatory to maintain and send monthly activities & progress report to the head office of the association.
I pledge to confine my activities to the academic, healthy & positive pursuits as a member and will not indulge in any illegal activities sponsored or promoted by the political parties and association working in or outside the country directly or indirectly.
I fully understand that in case of breaking my pledge, I shall be liable to be expelled and cancelled my registration from the association.
Signature of the Member Counter signed by;
President / General Secretary
Verified by Association. (Representative, MLTAP)
N.I.C No. _____________________________