We have life membership against one time small fees of Rs. 1000/-(from 01/01/2015). The members are expected dedicate themselves on growth development and behavioural pediatrics. We have associate membership which is accepted against request. Should you be interested to be our member, please fill in the online form below or download the membership form, fill in sign, attach fees and send to Cheque/DD to be drawn in favour of "Growth Devolopment and Behavioural Pediatrics Academy" payable at Kolkata Personal Communication Draft or Cheque has to be send to
Dr Jaydeep Choudhury
95/2, Ballygunge Place,
Kolkata - 700019
Email : jaydeep_choudhury@yahoo.co.in

Online Application Form for Life Membership

1. Name : Surname   Firstname   Middlename
2. Male Female
3. Central IAP Membership No. :
4. IAP Non Member (Phychiatrist/Phychologist/Counsellor/Teacher) :  
5. Corresponding Address :
6. Designation in Institute (If any) :
7. Academic Qualification(s) :
8. Phone No. (R) : 9. Mobile No. :
10. Email :
11. Bank Draft/Cheque No. Name of Bank
Branch Amount
Cash
Date :
 
Download printable Membership Form
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