Requirements For Membership - Fellow

DOWNLOAD APPLICATION FORM HERE

  1. Should be an Associate Member.
  2. The applicant should be 1-year diplomate of the Philippine Board of Urology, Inc.
  3. A duly accomplished Application Form. and pictures
  4. A certified true copy of certificate of membership in good standing from the Philippine Medical Association.
  5. A certified true copy of the PBU Board Certificate accompanied by the original copy for verification purposes
  6. Must have a photocopy of his/her current PRC license.
  7. Sponsorship Letter from 2 Fellows in good standing addressed to MICHAEL JOHN FRANCIS V. GASTON, MD, FPUA, Chairman of the Credentials and Membership Committee. 
  8. Three (3) pcs 2x2 formal picture (white background)
  9. Payment of Application fee
Induction Fee     Php 1,000.00
Membership Fee         400.00
Assessment Fee         500.00
Journal Fee                 300.00
Application Fee           300.00
______________________________
Total :              Php 2,500.00
______________________________

All requirements must be submitted to the:

Philippine Urological Association,Inc
3rd floor. PCS Bldg., 992 EDSA, Quezon City, 
Metro Manila, PHILIPPINES 1105

 

Requirements For Associate Membership

DOWNLOAD APPLICATION FORM HERE

  1. Must be a graduate of an Accredited Urology Training Program.
  2. A formal letter of intent addressed to MICHAEL JOHN FRANCIS V. GASTON, MD, FPUA, Chairman of the Membership and Credentials Committee. 
  3. A duly accomplished Application Form and updated CV.
  4. A Certified true copy of fellowship training abroad if applicable.
  5. A Certified true copy of Medical School Diploma verified from original source.
  6. A Certified true copy of Philippine Medical Board Certificate verified from original source
  7. A Certified true copy of certificate of Residency training in Urology verified from original source
  8. A Certified true copy of certificate of membership in good standing in the Philippine Medical Association
  9. A photocopy of applicants current PRC license verified from original source
  10. A sponsorship Letter from your Chairman and Training Officer addressed to MICHAEL JOHN FRANCIS V. GASTON, MD, FPUA, Chairman of the Membership and Credentials committee. 
  11. Three (3) pcs 2x2 formal picture (white background)
  12. Payment of application fee (P 4,500.00)
Induction Fee      Php 1,000.00
Membership Fee           400.00
Assessment Fee           500.00
Journal Fee                   300.00
Application Fee             300.00
PUA Barong               1,000.00
PUA Yearbook           1,000.00
__________________________________
                 Total Php 4,500.00
____________________________________

All requirements must be submitted to the:

Philippine Urological Association,Inc
3rd floor. PCS Bldg., 992 EDSA, Quezon City, 
Metro Manila, PHILIPPINES 1105