Become a Life Member of IAPA

Thank you for your interest in joining the Indian Association of Physician Assistants as a Life Member. This application process takes about 10 minutes. You can save your progress at any point and return using the link provided.

Before you begin, please keep these ready
Tick each item you have to hand. You can save your progress and return later.
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Save progress Saves your current progress and provides a link to resume later.

Who can apply: Physician assistants holding a recognized PA degree or diploma who work or have trained in India, as well as PA students undergoing internships.

What happens next: Our membership committee reviews applications within three working days. You will receive a confirmation email immediately. Once the committee has reviewed and approved your application, a separate email containing a payment link for the Life Membership fee will be sent to you.

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Title
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As on your degree certificate
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Gender
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DD/MM/YYYY
dd/mm/yyyy
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Nationality
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10 digits for India. Used for official communication.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
Country
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State / UT
If your country is not India, choose Outside India.
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6 digits for India
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Highest PA qualification
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
State / UT of college
If the college is outside India, choose Outside India.
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Year started
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Year completed
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MM/YYYY
dd/mm/yyyy
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
For example ACLS, BLS, fellowships
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Current employment status
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Specialty or department
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Name and membership number, if any
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How did you hear about IAPA?
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JPG or PNG, plain background. Maximum 5 MB.
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Aadhaar, PAN, passport or driving licence. If you upload Aadhaar, please mask the first 8 digits. PDF, JPG or PNG, maximum 5 MB.
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PDF, JPG or PNG, maximum 5 MB.
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You can upload multiple files or one combined PDF. Maximum 5 MB per file.
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Save progress Saves your current progress and provides a link to resume later.
PDF, JPG or PNG, maximum 5 MB.
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Save progress Saves your current progress and provides a link to resume later.
PDF, JPG or PNG, maximum 5 MB.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
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Save progress Saves your current progress and provides a link to resume later.
(You can make your profile private at any time later)
Save progress Saves your current progress and provides a link to resume later.