Membership Registration FormLife Membership 5000/-₹0.00Lifetime membership validity Special discounts for IPHA members to attend IPHACON. Exclusive CME and workshops only for members. Members are afforded a distinguished opportunity: a reduction in article processing charges (APCs) for their scholarly works features within the esteemed indexed journal, IJPH Digital copy only for four issues and all special issues. Print copy of IJPH on demand on payment will be available Can collaborate for academic excellence and public health related work through a strong committed network of public health professionals Opportunities for budding public health professionals to highlight thesis work in Association owned indexed journal - IJPH * Username * * Email Address (For all future communication) * * Password * Strength: Very WeakProfile Details * Title * * First Name * * Last Name * * Date of Birth * MM/DD/YYYY* GenderMaleFemale* Mobile Number * Mobile Number 2 (Whatsapp Only) * Permanent Home Address * * City * * State * * Pin Code * * Country/RegionSelectSelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe * Present Address City State Pin Country/RegionSelectSelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Designation / Educational Details * Present Designation * * Name of the Institution you are currently associated with * Mention your current work location (State and place) * Essential Educational QualificationMBBSMBBSMDSMPHM. Stat.M. PharmaM.Sc. SociologyM.Sc. PsychologyM.Sc. NutritionM.Sc. (Maternal & Child Health)M.Sc. ZoologyM.Sc. Medical Laboratory Technology & Medical MicrobiologyM.A. / M.SC. in Population StudiesMSW (RegularBVSC & AHBE (Public Health)B.E. / B.Tech(Others)B. Sc. Nursing CourseBPTBDSBDS + MPHBHMSBHMS+MPHBsc (bio)+MPHDPHDip DietDPHNM.A. EconomicsM.Sc. Horticulture * All courses should be full time regular course. Online courses are not eligible for essential qualification.* Upload the Essential Degree Certificate (Upload only PDF, Max Size 2 Mb)Done(Use Cropper to set image and use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.Additional Educational QualificationMDDPHDip DietDPHNDMCWM. Sc. NursingMSc PH(MCH)MSc PH(HP)MDSMPHMV Sc.M.TechPhDUpload the Additional Degree Certificate (Upload only PDF, Max Size 2 Mb)Drop file here or click to select.Pursing Additional QualificationMDDPHDip DietDPHNDMCWMSc PH(MCH)MSc PH(HP)M. Sc. NursingMDSMPHMV Sc.M.TechPhDPursing Additional Qualification (Upload only PDF, Max Size 2 Mb)Drop file here or click to select.* Speciality * Branch Affiliation, If any Proposed by: Note :-.Your membership is subject to approval after successful submission of the online membership form. If you meet all the membership criteria, you will receive a payment link via email from IPHA headquarters. Your membership will be approved only after payment.How you want to pay?Auto Debit PaymentManual PaymentAfter successfully submitting the membership form your eligibility will be screened and you will receive a confirmation email and membership fee payment details.Submit
