Indian medical association goes eco friendly application form

All affiliation request to IMAGE, CBWTF for Biomedical waste management is accepted only through Online Application.

Click "APPLY FOR AFFILIATION" http://imaimage.biz/Affiliation-register link to apply for new affiliation of your institution to IMAGE

Upload the scanned copies of following to the Online Application Form :

• Demand Draft
• Terms & Conditions for IMAGE Service (download from the website, duly sign & affix the office seal on all pages)
• Registration Certificate of Segregation in-charge
• Letter of Undertaking signed by Segregation In-charge (the form of Letter of Undertaking can be downloaded from the website in Downloads tab)
• Copy of the State Pollution Control Board consent form (if already registered with PCB)
• Copy of Licence issued by the LSGD (if already registered with LSGD)
• Other relevant documents, if any.

Once you click the SUBMIT button, the soft copy of the filled-up Application Form along with Terms and Conditions of IMAGE service, will be sent immediately to your given E - Mail address

Send the Affiliation Fee DD to:
The Hon. Secretary,
IMAGE Administrative Office,
IMA State Headquarters, Anayara.P.O,
Thiruvananthapuram - 695 029

Demand Draft (Original DD)

(IMAGE Affiliation process will start once the Affiliation Fee & Documents are received at the IMAGE Office. If the Affiliation Fee & documents are not received within 2 Weeks of online application, the affiliation request will get auto-deleted from the online server)

You can track status of your application by clicking, "Request Status" of IMAGE Website

For more details please contact our support desk at - imageimaksbtvm@gmail.com

Contact Numbers: 0471 2742211, 0471 2741188, 96569 93339, 98476 62226