MOA Presidential Theme Participation Form
Dear Sir,
I am Dr Ajit A Shinde, President Elect, Maharashtra Orthopaedic Association (MOA)
My presidential theme for year 2019-2020 is "Together towards excellence in Orthopaedics"
I want each and everyone of you to participate in the activities of MOA throughout the year
Please fill this form to let us know about your willingness of involvement towards MOA.
Dr Ajit A Shinde
President Elect- MOA
Email address *
MOA Presidential Theme Participation Form
Name *
Your answer
MOA Membership Number *
Your answer
City (District) *
Your answer
Mobile Number *
Your answer
Willing to participate in MOA activities? *
Activity interested in (can select multiple options) *
Area of interest (can select multiple options) *
Any other suggestion
Your answer
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