Download Membership Registration Form

Join with us in our effort to provide palliative care to the suffering fellow beings. You can support the activities of Indian Association of Palliative Care (IAPC), the national level Umbrella Organization for Palliative Care groups working in India, by:

➧ Being a Member of IAPC.
➧ Support our activities by sponsoring our projects or making donations to IAPC. (Income tax relaxation under 80-G is available for all donations to IAPC.)
➧ Once you sponsor a project / make donations, you will be added in our list of supporters and all further communication including the monthly newsletter and important announcements will be sent to you.

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

Room No. 242, 2nd Floor,
Department of Onco-Anaesthesia and Palliative Medicine,
Dr. B.R.A. IRCH,
All India Institute of Medical Sciences,
Delhi – 110 029,
New Delhi, 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