APPLICATION FORM FOR LIFE MEMBERSHIP - IAP INTENSIVE CARE CHAPTER

Qualification Details

(Attach supportive documents in pdf format only)

Medical/Pediatric Qualification
Name of University
Qualifying Year
File (pdf only, Max 1MB )
a. M.B.B.S
b. D.C.H.
c. M.D. (Ped)
d. Others

Life Membership fees : Rs.3000/-