Join Membership – darkgreen-clam-560043.hostingersite.com

Membership

Home

Join Membership

MEMBERSHIP FORM- ENVIRONMENT & CHILD HEALTH CHAPTER OF INDIAN ACADEMY OF PAEDIATRICS.

Name

IAP Membership No./ Home Branch

Age in completed years

Date of Birth

Qualification

Designation

Address

Pincode

Email Address (Just for Contact Purpose)

Contact No

Area of interest in Environmental & Child Health

Membership- Rs. 1,000/- per candidate

Payment by Cheque/DD/NEFT/IMPS

BANK: CANARA BANK Ac

NAME • Environment And Child Health Chapter

NUMBER: 12412010047288

AE TYPE : Saving Bank (SB)

IFSC CODE S: CNRB0011241

BANK BRANCH KIMS Branch

Payment Ref. No. / Payment date

Consent- I will abide by rules & regulation of ECHG chapter of IAP as a responsible member of the organisation.

Membership

MEMBERSHIP FORM- ENVIRONMENT & CHILD HEALTH CHAPTER OF INDIAN ACADEMY OF PAEDIATRICS.

Quick links

Quick links

Call us

Visit Us

Mail Us

Subscribe to Our Newsletter