This form is to be used by those who wants to apply offline. Please download, take a print-out and fill up the form carefully with correct information in block letters.

The filled-up membership form must be sent along with the Cheque or DD or Online Payment transaction receipt to the Secretariat address provided below:

Indian Association of Palliative Care

Address:-

Room No. 242, 2nd Floor, Dept of Palliative medicines, All India Institute of Medical Sciences, New Delhi, Delhi – 110023, India.

Cheques / DDs must be crossed and in favour of “Indian Association of Palliative Care”, and payable at Ansari Nagar East, New Delhi. India. (Current Account No. 33808019294; IFSC Code SBIN0000246; State Bank of India).

Those who wants to apply online, please visit this Link