MDA NationalStudents

Online Membership

To apply for FREE Student Membership simply complete the form below and click the submit button.

Important note: Becoming a FREE Student Member does not provide you with medical indemnity cover. In order to secure medical indemnity cover you will need to apply for a Student Indemnity Policy.

If you would like more information about FREE Student Membership, please contact Member Services on FREECALL 1800 011 255.

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Surname:*  
Given Name(s):*  
M/F:*
Address:*  
Suburb:*  
State:*  
Postcode:*  
Telephone:*  
Mobile:
E-Mail:*   
Please inform us of any change to the above information
Date of birth(DD/MM/YYY):*   
Name of Medical School:*  
Current Year of Study:*  
Expected Year of Final Exams:*