BAPIO

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Please select the type of membership you would like to apply for * Full Membership (£50.00) : offered to those who are working in the UK.
Joint (spouse) Membership (£75.00) : Joint membership for medical graduate couple
Student Membership (free) : Undergraduate Medical students.
Associate Membership (£30.00) : Associate Membership is offered for doctors who are not UK residents, UK-based healthcare professionals (other than doctors) and any non medical professionals who wish to support BAPIO.

Personal Details

Title*

First Name*

Middle Name

Last Name*

Honours

Date of Birth *

Gender * Male
Female

Ethnic Origin * Indian sub-continent (India, Pakistan, Bangladesh, Srilanka, Nepal, Bhutan and Maldives)
Other

Contact Details

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Address Line 2

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Country

Telephone *

Email *

Password *

GMC/GDC/Student ID Registration No *

Graduate Year *

University Name

Department *

Division *

Place of Work *

Job title and Speciality *

Name of Spouse (only if medical graduate and applying for Joint (spouse) membership)

Spouse Date of Birth (if applying for Joint (spouse) membership)

Spouse contact email (if applying for Joint (spouse) membership)

Spouse Contact Number (if applying for Joint (spouse) membership)

Spouse Job title and Speciality (if applying for Joint (spouse) membership)

Spouse Current Position

Spouse Place of Work (if applying for Joint (spouse) membership)

Spouse approval sought – Y or N

Spouse GMC No. (if applying for Joint (spouse) membership)

Payment Type * Online
Direct Debit
Download the direct debit form, you can fill out the attached Direct debit form and send it to the head office at admin@bapio.co.uk

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Health & Well-being Forum
Young Doctors Forum
GP Forum
SAS Forum
Paediatric Forum
Womens Forum
Patient Safety Forum

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Personal Details

Contact Details

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