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Membership form 2012­ 2013 
[Issue 3] 
Page 1 
ACADEMY OF HOSPITAL ADMINISTRATION
AHA HOUSE
C-56/43, Institutional Area, Sector – 62, NOIDA, U.P.
Tel: 0120-4233761/62/63 & 2401496
Email: ahaindia@ahaindia.org & ahaindia1987@gmail.com
Website: www.ahaindia.org
Membership form 2012­ 2013 
[Issue 3] 
Page 2 
MEMBERSHIP OF AHA
Health care delivery and hospitals are at crossroads today. Globalisation, economic
liberalisation, increased patient awareness, enhanced patient and staff expectations, cost
effectiveness, emerging medical, legal and ethical issues, health care insurance, accreditation
systems, privatization of medical care, technological explosion are some of the factors which
have metamorphosed health care provisioning. The AHA through the mode of JAHA,
workshops, seminars, symposiums conferences – national as well as international, provides
the needed platform to the health care and hospital administrators to discuss, share, analyse
and research the existing, emerging and futuristic issues. The endeavor is to offer winning
strategies and to confront the managerial challenges of technology, complexity, change,
expectations, ethical issues, media, marketing, crisis/human/other resources management and
convert the challenges into opportunities of success.
The application form for membership has been placed at Annexure ‘A’. AHA presently has
more than 900 members and they offer the core strength to AHA.
The membership fees for the various memberships are as follows:-
Life membership (Individual) - Rs. 4000/-
Institutional membership - Rs. 20000/-
Associate membership - Rs. 3500/-
Student membership - Rs. 2500/- *
* Student members can convert their membership as Life Membership [Individual] on
completion of MHA/MD [HA]/MBA [Healthcare] to pay Rs. 1500/- along with copy
of certificate.
Membership form 2012­ 2013 
[Issue 3] 
Page 3 
ELIGIBILITY
The eligibility conditions for obtaining membership of AHA are as follows:-
LIFE MEMBERSHIP (INDIVIDUAL)
It is awarded to persons having degrees / appointments / experience as follows:-
• MHA / MD (CHA) / MD (HA) / PhD / DIPNBE in Hospital Administration from a
recognized University.
• PGDHM from AHA
• PG Degree/PG Diploma [2 years]/MBA in Hospital Administration/Health Care
Administration from Institutions/Agencies recognised University, Ministry of
Health & Family Welfare/Human Resource Development/AICTE and has been
engaged in responsible administrative positions for a period of five years in an
acceptable institution after acquiring the qualification.
• Holds a responsible administrative position in an acceptable hospital or related health
care organization such as the position of Director, Dy. Director, Assoc. Director,
Medical Superintendent, Nursing Superintendent and has acquired, in the opinion
of Board of Executives, adequate knowledge of the principles, concepts and practice
of health / hospital care administration.
• Is holding the position of Dean, Sub-Dean, Principle, Vice Principle or any
equivalent position in Medical College or College / School of Nursing and has
acquired, in the opinion of the Board of Executives adequate knowledge of the
functions, principles and practices of hospital administration.
• Life Associate Members with 10 years of administrative experience after admission a
Associate members.
Membership form 2012­ 2013 
[Issue 3] 
Page 4 
INSTITUTIONAL MEMBERSHIP
(Non Voting) Institutional Membership is accepted for Hospitals, professional bodies and
establishments in the field of hospital administration. (It entitles for sponsorship of three
candidates for meetings and seminars organized by AHA).
LIFE ASSOCIATE MEMBERS
Any individual who undertakes to subscribe to the objectives of the Academy may be
admitted to the membership provided at the time of admission, he / she:-
• Has degree of diploma in Health / Hospital Administration or allied disciplines from
recognized university, school or centre and is engaged in a responsible administrative
position in an acceptable hospital or related health activity.
• Is a faculty, researcher, or director of acceptable graduate and undergraduate
programme in hospital and health care management and holds a full time position.
• Is an officer engaged in the administration of hospital for health and medical care at
centre, state, or district level.
• Is a consultant adviser, co-coordinator or administrator of health related organization
such as voluntary health association etc. and in that position influences the operation,
growth and development of hospital or other acceptable hospital services and
programmes.
• Medical officer, having degree in alternative systems of medicine and engaged in
responsible administrative position or related health activity.
• Life Associate Member shall have no voting right.
Membership form 2012­ 2013 
[Issue 3] 
Page 5 
PRIVILEGES OF MEMBERS
Every member will be given a membership certificate signifying the type of membership and
date of admission.
• Every member (except Associate, Student and Institution) will have the right to be
elected and be represented on the executive committee of the Academy on the basis
of an election held during the Annual General Body Meeting.
• Every member will be entitled free of charge a copy of the biannual journal of
Academy of Hospital Administration.
• All priced publications of AHA will be made available to members at concessional
rates.
• Every member (except Associate, Student & Institutional and Honorary) has a voting
right.
• Information regarding various training programmes, workshops, seminars will be
disseminated to the members. Preference will be given to AHA members for
participating in these activities at reduced / concessional rates.
• Members will be entitled to use the following titles according to their respective class
of membership.
o Fellow - FAHA
o Honorary Fellow - HFAHA
o Life Member - MAHA
o Associate Member - AMAHA
o Student Member - SAMAHA
• 10% discount in tution fee OR concessional room rent charges
in AHA hostel is allowed to all AHA members attending various
training programmes conducted by AHA.
Membership form 2012­ 2013 
[Issue 3] 
Page 6 
MEMBERSHIP FORM-AHA
To
The President,
Academy of Hospital Administration,
AHA House,
C-56/43, Institutional Area, Sector – 62, NOIDA, U.P.
Tel: 0120-4233761-62-63, 2401406
Dear Sir,
I wish to become the member of AHA, my particulars are as follows:-
Name: _____________________________________________________________________
Qualification: _______________________________________________________________
Particulars of training in Health / Hospital Administration: ___________________________
___________________________________________________________________________
Professional Experience: ______________________________________________________
___________________________________________________________________________
Address (Residential) Permanent: _______________________________________________
________________________________________________
Present: _______________________________________________
_______________________________________________
Address (Office): ____________________________________________________________
___________________________________________________________________________
Tel. Res.__________________ Office _________________ Residence _______________
Mobile No._____________________Email: ____________________________________
Type of Membership applied for:-
Life Institutional Associate Student (Mark “X”)
Enclosed is Cheque / Draft No. ______________________ Dated _____________________
For Rs. ______________ Drawn on _____________________________________________
Yours faithfully
NOTE:-
1. Draft/Cheque [at par only] to be made in the name of “Academy of Hospital
Administration”, payable at NOIDA/New Delhi, Outstation cheques not accepted.
2. A brief Bio-Data may please be attached.
3. Photocopies of certificates [Self attested]
4. Attach separate sheet if needed for qualifications and experience.
Photo
Self
Attested

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AHA Membership Form 2012-2013

  • 1. Membership form 2012­ 2013  [Issue 3]  Page 1  ACADEMY OF HOSPITAL ADMINISTRATION AHA HOUSE C-56/43, Institutional Area, Sector – 62, NOIDA, U.P. Tel: 0120-4233761/62/63 & 2401496 Email: ahaindia@ahaindia.org & ahaindia1987@gmail.com Website: www.ahaindia.org
  • 2. Membership form 2012­ 2013  [Issue 3]  Page 2  MEMBERSHIP OF AHA Health care delivery and hospitals are at crossroads today. Globalisation, economic liberalisation, increased patient awareness, enhanced patient and staff expectations, cost effectiveness, emerging medical, legal and ethical issues, health care insurance, accreditation systems, privatization of medical care, technological explosion are some of the factors which have metamorphosed health care provisioning. The AHA through the mode of JAHA, workshops, seminars, symposiums conferences – national as well as international, provides the needed platform to the health care and hospital administrators to discuss, share, analyse and research the existing, emerging and futuristic issues. The endeavor is to offer winning strategies and to confront the managerial challenges of technology, complexity, change, expectations, ethical issues, media, marketing, crisis/human/other resources management and convert the challenges into opportunities of success. The application form for membership has been placed at Annexure ‘A’. AHA presently has more than 900 members and they offer the core strength to AHA. The membership fees for the various memberships are as follows:- Life membership (Individual) - Rs. 4000/- Institutional membership - Rs. 20000/- Associate membership - Rs. 3500/- Student membership - Rs. 2500/- * * Student members can convert their membership as Life Membership [Individual] on completion of MHA/MD [HA]/MBA [Healthcare] to pay Rs. 1500/- along with copy of certificate.
  • 3. Membership form 2012­ 2013  [Issue 3]  Page 3  ELIGIBILITY The eligibility conditions for obtaining membership of AHA are as follows:- LIFE MEMBERSHIP (INDIVIDUAL) It is awarded to persons having degrees / appointments / experience as follows:- • MHA / MD (CHA) / MD (HA) / PhD / DIPNBE in Hospital Administration from a recognized University. • PGDHM from AHA • PG Degree/PG Diploma [2 years]/MBA in Hospital Administration/Health Care Administration from Institutions/Agencies recognised University, Ministry of Health & Family Welfare/Human Resource Development/AICTE and has been engaged in responsible administrative positions for a period of five years in an acceptable institution after acquiring the qualification. • Holds a responsible administrative position in an acceptable hospital or related health care organization such as the position of Director, Dy. Director, Assoc. Director, Medical Superintendent, Nursing Superintendent and has acquired, in the opinion of Board of Executives, adequate knowledge of the principles, concepts and practice of health / hospital care administration. • Is holding the position of Dean, Sub-Dean, Principle, Vice Principle or any equivalent position in Medical College or College / School of Nursing and has acquired, in the opinion of the Board of Executives adequate knowledge of the functions, principles and practices of hospital administration. • Life Associate Members with 10 years of administrative experience after admission a Associate members.
  • 4. Membership form 2012­ 2013  [Issue 3]  Page 4  INSTITUTIONAL MEMBERSHIP (Non Voting) Institutional Membership is accepted for Hospitals, professional bodies and establishments in the field of hospital administration. (It entitles for sponsorship of three candidates for meetings and seminars organized by AHA). LIFE ASSOCIATE MEMBERS Any individual who undertakes to subscribe to the objectives of the Academy may be admitted to the membership provided at the time of admission, he / she:- • Has degree of diploma in Health / Hospital Administration or allied disciplines from recognized university, school or centre and is engaged in a responsible administrative position in an acceptable hospital or related health activity. • Is a faculty, researcher, or director of acceptable graduate and undergraduate programme in hospital and health care management and holds a full time position. • Is an officer engaged in the administration of hospital for health and medical care at centre, state, or district level. • Is a consultant adviser, co-coordinator or administrator of health related organization such as voluntary health association etc. and in that position influences the operation, growth and development of hospital or other acceptable hospital services and programmes. • Medical officer, having degree in alternative systems of medicine and engaged in responsible administrative position or related health activity. • Life Associate Member shall have no voting right.
  • 5. Membership form 2012­ 2013  [Issue 3]  Page 5  PRIVILEGES OF MEMBERS Every member will be given a membership certificate signifying the type of membership and date of admission. • Every member (except Associate, Student and Institution) will have the right to be elected and be represented on the executive committee of the Academy on the basis of an election held during the Annual General Body Meeting. • Every member will be entitled free of charge a copy of the biannual journal of Academy of Hospital Administration. • All priced publications of AHA will be made available to members at concessional rates. • Every member (except Associate, Student & Institutional and Honorary) has a voting right. • Information regarding various training programmes, workshops, seminars will be disseminated to the members. Preference will be given to AHA members for participating in these activities at reduced / concessional rates. • Members will be entitled to use the following titles according to their respective class of membership. o Fellow - FAHA o Honorary Fellow - HFAHA o Life Member - MAHA o Associate Member - AMAHA o Student Member - SAMAHA • 10% discount in tution fee OR concessional room rent charges in AHA hostel is allowed to all AHA members attending various training programmes conducted by AHA.
  • 6. Membership form 2012­ 2013  [Issue 3]  Page 6  MEMBERSHIP FORM-AHA To The President, Academy of Hospital Administration, AHA House, C-56/43, Institutional Area, Sector – 62, NOIDA, U.P. Tel: 0120-4233761-62-63, 2401406 Dear Sir, I wish to become the member of AHA, my particulars are as follows:- Name: _____________________________________________________________________ Qualification: _______________________________________________________________ Particulars of training in Health / Hospital Administration: ___________________________ ___________________________________________________________________________ Professional Experience: ______________________________________________________ ___________________________________________________________________________ Address (Residential) Permanent: _______________________________________________ ________________________________________________ Present: _______________________________________________ _______________________________________________ Address (Office): ____________________________________________________________ ___________________________________________________________________________ Tel. Res.__________________ Office _________________ Residence _______________ Mobile No._____________________Email: ____________________________________ Type of Membership applied for:- Life Institutional Associate Student (Mark “X”) Enclosed is Cheque / Draft No. ______________________ Dated _____________________ For Rs. ______________ Drawn on _____________________________________________ Yours faithfully NOTE:- 1. Draft/Cheque [at par only] to be made in the name of “Academy of Hospital Administration”, payable at NOIDA/New Delhi, Outstation cheques not accepted. 2. A brief Bio-Data may please be attached. 3. Photocopies of certificates [Self attested] 4. Attach separate sheet if needed for qualifications and experience. Photo Self Attested