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Medical Student Insurance and Membership Application Form - How to join

Applying for MIGA's Student package is easy!

Simply complete and submit the Student Member Application Form below.

Please call our Client Services Department on 1800 777 156 if you have any queries regarding our FREE Student Membership and Insurance.

Form applies for period 1 July 2009—30 June 2010

  • This Form will be used for the purposes of your application for membership with Medical Defence Association of South Australia Limited (MDASA) and medical indemnity insurance with Medical Insurance Australia Pty Ltd (Medical Insurance Australia).
  • This Form needs to be read in conjunction with MIGA’s Combined Financial Services Guide and Product Disclosure Statement for Medical Students. Terms used in this Form have the same meaning as in the Combined FSG/PDS – for Medical Students.
Fields marked with * are required
Your details
Commencement date
Date of birth *
Gender *
Home phone*
Medical study details
Date medical studies commenced * Note: this will be your Retroactive Date, unless we advise otherwise
How did you hear about MIGA? (Tick more than one if applicable)







Students

Even as a Medical Student you never quite know when you could become involved in a medical emergency.

Update your contact details

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Are you still receiving our bi-monthly Bulletin?

If your contact details have changed recently, provide us with your new details to ensure you receive the full benefits of your membership.

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