IAPMR

Registration

Registration Rules

  1. This registration facility is only for existing life members of IAPMR.
  2. After submission of registration form, your membership shall be approved within 2 days. The confirmatory email shall be sent to registered email address.
Full Name *

Profile Image

Date of Birth

Email ID *

Mobile Number *
Landline Number
Address

Password *

Confirm Password *


# Qualification Year of Passing Institution
1 MBBS Degree
2 Diploma Degree
3 MD/DNB Degree
4 Other Qualification-Degree/Fellowship

Registration details with Medical Council of India/State Medical Council:

Medical Council Number

Registration Date

Council Name

IAPMR Life Membership Number

MCI or State council registration certificate *


Documentation (Optional)

MBBS Degree

Diploma Degree

MD/DNB Degree

Other Qualification-Degree/Fellowship


Declaration:

I here by certify that the statements filled by me in this application form are correct to the best of my knowledge. I agree to abide by the rules and by-laws of the IAPMR which have been read by me.