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, Department of Onco-Anaesthesia and Palliative Medicine, Dr. B.R.A. IRCH, All India Institute of Medical Sciences, New Delhi, Delhi – 110029, India.

Cheques / DDs must be crossed and in favour of “Indian Association of Palliative Care”, and payable at State Bank of India, AIIMS Campus, Ansari Nagar East, New Delhi -110029. India.

Current Account No. 33808019294; IFSC Code SBIN0001536; MICR Code 110002005; Branch Code 001536.

Those who want to apply online, please visit this Link

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