INDIAN ACADEMY OF PEDIATRICS

1. The Indian Academy of Pediatrics (IAP) confers Fellowship (FIAP) to the members of the IAP who have made outstanding contributions in the fields of Child Health, Pediatric Education, Research, Development of Sub-specialties, Medical Publications and Community Pediatrics over and above the call of normal duty or due to position of the nominee.

2. The nomination should be submitted in the prescribed form duly proposed and seconded by the eligible Fellows and/or Life and/or Ordinary Members of the IAP to be submitted in 6 (SIX) copies.

3. The nominee should have been a member of the Indian Academy of Pediatrics for 10 years before submission of his/her nomination to the Indian Academy of Pediatrics. The enrollment year of the membership of the nominee shall be taken as full year of membership for the purpose of computing 10 years of membership.

4. The eligible Fellow and/or Life and/or Ordinary member of the IAP is entitle to nominate only one nominee for FIAP in a year.

5. The proposer and the seconder of the nomination should have been the member of the Indian Academy of Pediatrics for 10 years before proposing / seconding the name of any member for the FIAP.

6. A duly signed consent of the nominee stating that he/she is willing to be nominated to Fellowship of the Indian Academy of Pediatrics should be given.

7. The nominations will be invited through an announcement in IAP’s publications or in any other form like circular. The nomination should be submitted within a stipulated time to the Honorary Secretary General, Indian Academy of Pediatrics, Kailas Darshan, Kennedy Bridge (Nana Chowk), Mumbai-400007.

Rules for Nomination of Non-Regular Candidates (Honorary Fellowship of IAP)

1. Honorary Fellowship of IAP is conferred to scientists who are not the members of IAP but have made outstanding contributions to improve the status of pediatrics and child health in India.

2. The nomination should be submitted in the prescribed form duly proposed by the eligible Fellows and/or Life and/or Ordinary Members of the IAP.

3. The eligible Fellow and/or Life and/or Ordinary member of the IAP is entitle to nominate only one nominee for Fellowship in a year.

4. A duly signed consent of the nominee stating that he/she is willing to be nominated to Fellowship of the Indian Academy of Pediatrics should be given.

5. The nominations will be invited through an announcement in IAP’s publications or in any other form like circular. The nomination should be submitted within a stipulated time to the Honorary Secretary General, Indian Academy of Pediatrics, Kailas Darshan, Kennedy Bridge (Nana Chowk), Mumbai-400007.

NOMINATION FORM FOR AWARD OF FELLOWSHIP (FIAP)

Name of the Nominee: …….………………………………………………………………………………………

Membership No.: ……………………….. Date of Birth: ………………………… Sex: ……………………….

……………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………….

1. Teaching and/or Professional Experience till date

2. Editorial Services provided to Medical Journal (Yes / No. If yes, then please specify)

3. Details of Publications

(i) Number of Medical Books published with their titles, publishers and year of publication (please specify whether single or multiple editors, mono or multiple authors, proceedings of workshop / conference / symposia, approximate copies consumed / sold and whether receiving royalty / honorary work).

(iii) Publications in Medical Journals (attach a list of complete references of publications – please do not include articles submitted for publication).

(iv) Publications in other Print Media (Child Health related articles in newspapers, magazines, school books, etc. Details of title, magazine and date/year of publication, etc to be provided).

4. Awards of Professional Recognition (Specify the name(s) of the Award(s) with year)

5. Representation in International / National Organizations / Committees / Bodies / Institutions

(Task Force of ICMR, Ministry of Health and Family Welfare, Ministry of Women and Child Development, Planning Commission, ICDS, Indian Council of Child Welfare, Medical Council of India, etc. – Please specify the title of the Committee and year(s) of serving).

(iii) Visiting Professorship and other assignments beyond the purview of routine duties (Please specify the University / Assignment and year(s)

6. Role in IAP/International Pediatric Societies with year(s) of serving

(i) Member of Executive Committee of International Pediatric Association / APSSEAR

(vi) Any other (Organization of CME Programs, Symposia, Seminars, Workshops / Chapters, etc. (Please specify the designation(s) with the exact responsibilities)

7. Contribution made towards Child Welfare activities in your

8. Give a summary of highlights of the outstanding contributions made by the nominee in the fields of Child Health, Pediatric Research, Education, Welfare activities and organizational work in about 200 words. Please include features not highlighted in sections 1 to 7.

CONSENT OF THE NOMINEE

I am willing to be nominated to Fellowship of Indian Academy of Pediatrics.

Signature of the Nominee: ………………………………………………………………………………………

Name of the Nominee: ………………………………………………………………………………………….

Sr.No	Designation	Hospital	Period From - To

Signature of Proposer		Signature of Seconder
Name of Proposer		Name of Seconder
IAP Membership No.		IAP Membership No.
Date		Date
Place		Place

Medical / Pediatric Qualification	Name of the University	Qualifying Date

NOMINATION FORM FOR AWARD OF FELLOWSHIP (FIAP)

Rules for Nomination of Regular Candidates