INDIAN ACADEMY OF PEDIATRICS
Kailas Darshan, Kennedy Bridge, Mumbai - 400 007.

MEMBERSHIP APPLICATION FORM
(PLEASE FILL - UP THE FORM IN BLOCK LETTERS)

Name of the Applicant............................................................................................................................................................................
                                                   (Surname)                                                  (First Name)                                         (Middle Name)

Present Status & Designation.................................................................................................................................................................

Communication Address........................................................................................................................................................................

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Qualification:
Medical/Pediatric Qualification Name of the University Qualifying Year
     

Registration No. :....................................................................................................................................................................................

Registering Authority :..........................................................................................................................................................................

Name & Address of Proposer :............................................................................................................................................................

Membership No. of Porposer :...........................................................................................................................................................

Signature of Proposer :..........................................................................................................................................................................

Name & Address of Seconder :............................................................................................................................................................

Membership No. of Seconder :.............................................................................................................................................................

Signature of Seconder :..........................................................................................................................................................................

Place :
Date :

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(Signature of the applicant)
SUBSCRIPTION RATE
Life/Associate Membership Fee Rs.6500/- Student Membership Fee Rs. 3000/- Annual Subscription Rs. 1000/- (This fee is inclusive of Admission Fee of Rs. 500/-). The amount to be remitted by a cross Demand Draft Draw in favour of "Indian Academy of Pediatrics" payable at Mumbai.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


MEMBERSHIP PRIVILEGES


The Society provides

• Facilities to Students, Scholars and Institutions for the study of or Research in Pediatrics in any of its aspects by way of    scholarships, fellowships, grants, endowments, etc.
• Either through itself or in cooperation with other bodies or persons fellowships, prizes, certificates, diplomas of proficiency in the science of Pediatrics and conduct such tests, examinations or other scrutiny as may be prescribed from time to time.
• Free of cost or at subsidized cost its official journals, books, periodicals or publications on pediatrics and allied subjects which the society thinks is desirable for the promotion of its objects.
• Opportunity to its member to participate in Conferences, Lectures, Meetings, Seminars, Symposia, Workshops, Continuing Medical Education Programs, etc.
• Opportunity to become members of its Branches / Subspecialty Chapters / Groups / Cells / Committees.

Affiliations

The Society is affiliated to:

(i) International Pediatric Association (IPA)
(ii) International Society of Tropical Pediatrics (ISTP)
(iii) American Academy of Pediatrics (AAP)
(iv) Association of Pediatric Societies of the Southeast Asian Region (APSSEAR)
(v) Asian Society for Pediatric Infectious Disease (ASPID)
(vi) Pediatric Association of SAARC (PAS)

Categories of Membership

(1) Student Member: Applicant who has passed M.B.B.S. and doing Post Graduation allows the applicant to enroll  himself/herself at 50% of the prevailing rate of life membership at the time of admission and the balance 50% to be paid within 4 years or earlier. On making full payment, he/she will be entitle to change the “Student” Membership category to either “Associate Life” or “Life” depending on the graduation / post graduation status.
(2) Associate OR Associate Life Member: Applicant who has passed M.B.B.S. only, have an option to become Annual Member i.e. “Associate” Member (renewable every year) OR “Associate Life” Member by paying life membership amount once only.
(3) Ordinary OR Life Member: Applicant holding M.B.B.S. and Post Graduation (such as D.C.H., M.D. (Ped), D.N.B. (Ped) or any other degree recognized by the Executive Board of IAP as equivalent) are eligible to be “Ordinary” Member (renewable every year) OR “Life” Member by paying life membership amount in full once only.

How To Apply for Membership

Application should be made on a prescribed form. Along with the application for membership of IAP, xerox copies of the following documents should be submitted

(i) Xerox copies of the M.B.B.S. & Post Graduation Certificates as (as per degrees listed by you in your application).
(ii) Xerox copies of the degrees registration certificates with State Medical Council OR Medical Council of India (as the case may be).
(iii) Certificate from the HOD stating that the applicant is the bonafide student of his/her Medical College (if the application is for “Student” Membership).

Membership Fee

The Membership Fee Structure is as follows: 

Category of Membership

Admission Fee

Membership Fee

Total Amount Payable

Student

Rs.500/- (payable at the time of admission)

Rs.3000/- (Total payable Rs.3500/- at the time of admission i.e. 50% of the current life membership amount and admission fee) and balance Rs.3000/- on or before completion of 4 years of Student Membership)

Rs.6500/-

 

Associate

Rs.500/-

Rs. 500/-

Rs.1000/-

Associate Life

Rs.500/-

Rs.6000/-

 

Rs.6500/-

Ordinary

Rs.500/-

Rs. 500/-

Rs.1000/-

Life

 

Rs.500/-

Rs.6000/-

 

Rs.6500/-

The Membership Fee should be paid by a crossed bank draft drawn in favour of “INDIAN ACADEMY OF PEDIATRICS” payable at Mumbai.