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Application is hereby made for membership in the World Organization of Family Doctors (Wonca).
A. ADMINISTRATIVE DATA
NAME OF ORGANIZATION:
ADDRESS:
PHONE:
SIGNED:
DATE:
FAX:
TITLE:
EMAIL:
B. CATEGORY OF MEMBERSHIP FOR WHICH APPLICATION IS MADE (PLEASE √ )
FULL MEMBER
ASSOCIATE MEMBER
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C. DETAILED INFORMATION OF THE APPLICANT
For Full or Associate Membership Article 4 and 5 of the Bylaws and Clause 4 of the Regulations apply (see appendix to this form for the full wording).
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Based on the wording of Clause 4 the applicant has to provide evidence that the applicant complies with the Mission,
Objectives and Membership requirements.
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Please describe in short the Mission and Objectives of your organization and why it complies with the Mission and Objectives of Wonca:
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Please provide evidence that your organization is a national organization meaning an evenly spread distribution of members over the country i.e. not a regional group:
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Please provide evidence that your organization is representative of general practitioners/family physicians meaning that all kinds of GP’s (urban/rural – male/female – old/young) are members:
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Please provide evidence that a majority of your constituent voting membership consists of general practitioners/family physicians, meaning that other specialists can be a voting member but GP’s/FP’s should hold the majority:
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Please provide evidence that the membership count is of legally registered general practitioners/family physicians entitled to practice within that country, meaning that the membership count should be of “active” members:
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Please describe whether medical practitioners in training for general practice/family medicine also have voting rights:
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Please indicate the number of full members of the organization: Full Members [ ]
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(A “full member” is one who pays the regular membership subscriptions to your organization, but excludes those who pay less than half of the regular subscription.)
This completed and signed application form has to be submitted together with :
1. A copy of your organization’s constitution or bylaws (in English)
2. A copy of your organization’s membership list and number of members.
3. A copy of your organization’s financial statement. (This information will be treated in strict confidence and it is to show that your organization is in good financial health).
4. Application fee equivalent to one year’s membership dues. a) For Wonca FULL MEMBERSHIP: To calculate the amount of fees payable multiply the number of full members in your organization by US$1.72 per capita amount. b) For Wonca ASSOCIATION MEMBERSHIP: To calculate the amount of fees payable multiply the number of full members in your organization by US$0.86 per capita amount.
For (a) and (b) above, if the application is successful, this covers the first year of membership. If the application is unsuccessful, the application fee is non-refundable.
Please complete and return original signed copy to:
Dr Garth Manning
Chief Executive Officer
World Organization of Family Doctors (WONCA)
12A-05 Chartered Square Building, 152 North Sathon Road
Silom, Bangrak, BANGKOK 10500
Thailand Tel: +66 2 637 9010 Fax: +66 2 637 9011 ceo@wonca.net
Web: www.GlobalFamilyDoctor.com
Or send the scanned copy to manager@wonca.net
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APPENDIX TO APPLICATION FORM FULL OR ASSOCIATE MEMBERSHIP
WONCA BYLAWS ( 2013)
ARTICLE 4: PURPOSE
1 Mission
The Mission of The Organization is to improve the quality of life of the peoples of the world through defining and promoting its values, including respect for universal human rights and including gender equity, and by fostering high standards of care in general practice/family medicine by: promoting personal, comprehensive and continuing care for the individual and the family in the context of the community and society;
2 promoting equity through the equitable treatment, inclusion and meaningful advancement of all groups of people, particularly women and girls, in the context of all health care and other societal initiatives; encouraging and supporting the development of academic organizations of general practitioners/family physicians; providing a forum for exchange of knowledge and information between Member Organizations and between general practitioners/family physicians; and representing the policies and the educational, research and service provision activities of general practitioners/family physicians to other world organizations and forums concerned with health and medical care.
Objectives
The objectives of The Organization shall be to:
.1 Support and facilitate the development of general practice/family medicine throughout the world, and advance the status of family doctors.
.2 Represent the consensus view of Member Organizations in international and national fora.
.3 Collect, collate and disseminate information concerning the educational, research and service provision aspects of general practice/family medicine.
ARTICLE 5: MEMBERSHIP
1 Eligibility and Classification
.1 The membership of The Organization shall consist of:
.1 Full Member Organizations
National organizations or a group of national organizations which are representative of general practitioners/family physicians of that country or those countries and a majority of whose constituent voting membership consists of general practitioners/family physicians who are legally registered to practise within that country or those countries. The voting membership of such organizations may include medical practitioners in training.
No component member of a Full Member Organization shall hold Full Membership in Wonca in its own right.
.2 Associate Member Organizations
National Organizations or a group of national organizations whose missions and objectives are consistent with those of Wonca and not eligible or do not seek Full Membership and of which the majority of the constituent voting membership are members of the recognized health professions as defined in these Bylaws.
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WONCA REGULATIONS OF COUNCIL
CLAUSE 4: MEMBERSHIP APPLICATION AND ELECTION
1 Full Members
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The applicant must provide evidence that it is a significant organization in that country or those countries and fulfils the requirements for Full Membership and that its objectives are consistent with those of Wonca.
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