Provide your personal information to complete registration process Note: For any date related field, click on the dropdown arrow in the field and select dates from the calendar. Maually typing dates will give an error First Name (required) Middle Name Last Name (required) upload profile picture(only .jpg and .png accepted) Date of Birth (required) Qualification (required) Year of passing (required) Blood Group (required) Mailing Address (required) Pin Code Tel. No. (required) Mobile (required) Email (required) Profession (required) Designation (required) Name of the Institution (required) Address of Institution (required) Two IPA Member references (required) No. 1 Name Membership ID No. 2 Name Membership ID select Branch ANANTAPURAM (branch Code: ANTP)(State Code: AP)BHIMAVARAM (branch Code: BHIM)(State Code: AP)ENIKEPADU (branch Code: ENI)(State Code: AP)GUDLAVELLERU (branch Code: GVL)(State Code: AP)GUNTUR (branch Code: GUN)(State Code: AP)LAM (branch Code: LAM)(State Code: AP)KHAMAM (branch Code: KHAM)(State Code: AP)KURNOOL (branch Code: KUR)(State Code: AP)RAJAHMUNDRY (branch Code: RAJ)(State Code: AP)TIRUPATI (branch Code: TIR)(State Code: AP)VIJAYAWADA (branch Code: VIJ)(State Code: AP)WALTAIR (branch Code: WALT)(State Code: AP)GUWAHATI(branch Code: GUWA)(State Code: ASS)BHIWADI(branch Code: BHI)(State Code: BHI)BEGUSARAI (branch Code: BEG)(State Code: BIH)PATNA (branch Code: PAT)(State Code: BIH)AHMEDABAD (branch Code: AMH)(State Code: GUJ)ANAND (branch Code: ANA)(State Code: GUJ)ANKLESHWAR(branch Code: ANK)(State Code: GUJ)BARODA (branch Code: BAR)(State Code: GUJ)MEHSANA (branch Code: MEH)(State Code: GUJ)MODASA (branch Code: MOD)(State Code: GUJ)RAJKOT(branch Code: RJK)(State Code: GUJ)SURAT (branch Code: SUR)(State Code: GUJ)VALLABH VIDYANAGAR(branch Code: VVN)(State Code: GUJ)VALSAD (branch Code: VAL)(State Code: GUJ)BANGALORE (branch Code: BAN)(State Code: KTK)BELGAUM (branch Code: BEL)(State Code: KTK)BIDAR (branch Code: BID)(State Code: KTK)CHANNAPATNA (branch Code: CHAN)(State Code: KTK)GULBARGA (branch Code: GUL)(State Code: KTK)HUBLI(branch Code: HUB)(State Code: KTK)KOLAR (branch Code: KOL)(State Code: KTK)KORATAGERE (branch Code: KOR)(State Code: KTK)MANGALORE (branch Code: MAG)(State Code: KTK)MANIPAL (branch Code: MPL)(State Code: KTK)MYSORE (branch Code: MYS)(State Code: KTK)PEENYA (branch Code: PEEN)(State Code: KTK)RAICHUR (branch Code: RAI)(State Code: KTK)AMRAVATI(branch Code: AMR)(State Code: MAH)AURANGABAD (branch Code: AUR)(State Code: MAH)BOMBAY (branch Code: BOM)(State Code: MAH)DHULE (branch Code: AMR)(State Code: DHUL)JALGOAN (branch Code: JAL)(State Code: MAH)KOLHAPUR (branch Code: KOLH)(State Code: MAH)NAGPUR (branch Code: NAG)(State Code: MAH)NANDED (branch Code: NAN)(State Code: MAH)NASHIK (branch Code: NK)(State Code: MAH)PUNE (branch Code: PUNE)(State Code: MAH)PUSAD(branch Code: PUS)(State Code: MAH)SOLAPUR (branch Code: SOL)(State Code: MAH)GWALIOR (branch Code: GWA)(State Code: MP)INDORE (branch Code: IND)(State Code: MP)MANDSAUR(branch Code: MAN)(State Code: MP)SAGAR (branch Code: SAG)(State Code: MP)BKP (branch Code: BKP)(State Code: TN)COIMBATORE(branch Code: COIM)(State Code: TN)MADRAS (branch Code: MDS)(State Code: TN)NILGIRIS (branch Code: NIL)(State Code: TN)SALEM (branch Code: SAL)(State Code: TN)SRIVILLIPUTTUR (branch Code: SRI)(State Code: TN)TENKASI (branch Code: TEN)(State Code: TN)HANAMKONDA (branch Code: HAN)(State Code: TS)HYDERABAD (branch Code: HYD)(State Code: TS)SURYAPET (branch Code: SURY)(State Code: TS)WARANGAL (branch Code: WAR)(State Code: TS)ALLHABAD (branch Code: ALL)(State Code: UP)KANPUR (branch Code: KAN)(State Code: UP)LUCKNOW (branch Code: LUCK)(State Code: UP)VARANASI (branch Code: VAR)(State Code: UP) select State Andra Pradesh APASSAM ASSBENGAL BENBIHAR BIHCHATTISGARH CHADELHI DELFOREIGN FORGOA GOAGujarat GUJJAMMU & KASHMIR J&KJHARKHAND STATE JHAKARNATAKA KTKKERALA KERMadhya Pradesh MPMaharashtra MAHNEPAL NEPORISSA ORIPUNJAB PUNRAJASTHAN RAJTAMIL NADU TNTELANGANA STATE TSTRIPURA TRIUTRANCHAL UTUttar Pradesh UPUTTRAKHAND UTT select Divisional Preference CommunityEducationHospitalIndustryRegulatory By checking this, you accept all the Terms and Conditions as prescribed by The Indian Pharmaceutical Association. Δ