Membership Application

Application for APLAR Membership

To apply for membership, you may complete the online form below ordownload the PDF application form to complete offlinebefore uploading the application form
We, the undersigned apply for membership of APLAR on behalf of:

Name of Organisation(Required)

In doing so we undertake:
1. To abide by the current Constitution and By-Laws of APLAR and as may be applicable in the future.
2. To represent the interests of all rheumatologists and musculoskeletal specialists within our country.
3. That our association is not currently a member nor has applied to be a member of another regional Rheumatology League.

Detail of Organisation

Name of Organisation(Required)

Date / Month / Year of Establishment(Required)

Official Registration Number of Society(Required)

Please attach a copy of the registration document with an English translation if necessary

Brief History of Your Organisation and its Role in the Provision of Education, Training, Research and Clinical Care in the Area of Rheumatology(Required)

Name of Society journal and Brief Details(Required)

Number of member(Required)

Number Of Member

President(Required)

Secretary(Required)

Treasurer(Required)

Other Office Bearers(Required)

Contact Information of the president

E-mail address(Required)

Mobile Number(Required)

Postal Address (Work)(Required)

Street Address City Country

Main Official Contact for Society

E-mail address(Required)

Mobile Number(Required)

Postal Address (Work)(Required)

Street Address City Country

Signature of President

Date

Signature of Secretary

Date

Notes: 1. Aplar Membership is restricted to one member association per country and the applying association must agree to represent the interests of all groups if there is more than one professional association.

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Application for APLAR Membership

Detail of Organisation

Number Of Member

Contact Information of the president

Main Official Contact for Society

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