IPGA MEMBERSHIP Form

Personal Details

Dr. Prof. Mr. Ms. Mrs.

Official Details

Qualification Details

*Please enclose photocopy of your B. Pharm/Pharm D. Degree Certificate.

B.Pharm./Pharm D.*
M.Pharm.
Ph.D.

Payment Details

Enclose Draft/Cheque* in favour of "IPGA New Delhi" (Sections 29-32 are not applicable for online payment of Membership Fee.)