KUMA Membership Form

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Thank you for your interest in becoming a member of the Korean-UK Medical Association.
Please check your entries and ensure that the form is filled in correctly.
In few weeks time after completing the form, you will receive an email from "googlegroup" asking you to join the KUMANEWS group. You need to click the "join" button to be enrolled to our group email registry.
Please make sure you check your junk/spam mailbox to look out for this email.

By completing this membership application you are agreeing to be added to our membership email list and your information to be stored in KUMA's database. Your information will NOT be shared with a third party.
If you have any inquiry about the membership, please contact the membership officer or email: kuma.secretary@gmail.com

To find out more about our organisation, please visit: https://www.kuma-uk.org/
Facebook page: https://www.facebook.com/KUMA.komed
Instagram: kuma.komed
Twitter: KoMedUK

Email *

Full English Name *

Full Korean Name *

Medical School *

GMC number *

Your current hospital *

Training Grade ( eg. FY1, IMT2, ST3, Consultant) *

Foundation Year Training 1 &2

IMT

Core Surgical Training

Specialty Training ( ST+ )

Consultant

out of training SHO job eg. locum/Trust grade/ fellowship

Other:

Specialty ( eg. Foundation, IMT, Core surgical, radiology, cardiology, geriatrics, GP etc) *

Your preferred contact email *

Your Mobile Number

How did you find out about us? *

through a friend or a colleague

through social media

through advertisement

through web search/Google.

Other:

What was your main reason for joining KUMA? *

Networking

outreach program eg. Health Awareness

education/training sessions

mentorship

Other:

Required

Would you be interested in joining a KUMA networking WhatsApp group? *

Yes

Do you have any suggestions or feedback for us? *

Send me a copy of my responses.

Submit

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