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Page Updated on 16 Feb 2018

Indian Academy of Pediatrics Intensive Care Chapter

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/-


for correspondence
Dr. Vinayak Patki
Secretary, IAP Intensive Care Chapter,
Room No.526,Mother and Child Block,
Ushahkal Abhinav Institute of Medical Science,
Damani Road, Sangli,416415, Maharashtra
secretary@piccindia.com
9822119314 ‚Äč

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