Islamic Medical Association of Queensland (IMAQ) Registration
Kindly note that IMAQ membership is for Muslim Health Professionals Only

Membership Fees:
- Graduated Professionals: $50 sign-up fee
- Students: Free

Please transfer your membership fee to the IMAQ Treasurer with the following reference:


Details: WESTPAC
Account Name: Islamic Medical Association of QLD
BSB: 034-182
Account Number: 233627

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Title *
First Name *
Surname *
Email *
Mobile Phone No. *
Suburb *
Occupation *
Please state your PRIMARY QUALIFICATION (e.g. MBBS) and the YEAR  in which you achieved/will achieve this qualification *
Professional Body Registered *
If you answered MEDICAL PRACTITIONER for OCCUPATION, please specify stage of training
If you selected Registrar or Specialist/Visiting Medical Officer, please specify specialty below
If you have a SUBSPECIALITY (e.g. Surgery - Urology; Physician - Cardiology), please specify below
If you answered STUDENT for OCCUPATION, please specify your study program
Primary Place of Practice/Study (if unsure, refer to *
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