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Indian Academy of Pediatrics Intensive Care Chapter

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APPLICATION FORM FOR ASSOCIATE MEMBERSHIP - IAP INTENSIVE CARE CHAPTER
Proposer's Details

Qualification Details

(Attach supportive documents in pdf format only)

Qualification
Name of University
Qualifying Year
File (pdf only, Max 1MB )
a. GNM
b. BSC
d. Others

Associate Membership fees : Rs.1000/-

for correspondence
Dr. Nameet Jerath,
Secretary, IAP Intensive Care Chapter,​
OPD no 1238, Gate no 10​
Indraprastha Apollo Hospital Mathura Road, Sarita Vihar​
New Delhi 110076​
Office: 011 2987 1253​
secretary@piccindia.com​ 9873391910 ​

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