ASSOCIATE MEMBERSHIP APPLICATION FORM

Please ensure all your personal and professional CV details are correct , and that all required information is provided when you submit your application form.

The Membership Committee scrutinises all application for professional suitablity. Once your application is approved, you will be directed to either the payment page ( PLEASE NOTE payment can only be received via Paypal), or your payment exemption will be confirmed, and you will receive in due course your membership certificate, and further details.

Associate member category: Individuals professionally involved or interested in Infection Control as well as non-commercial organizations. Associate members shall be entitled to receive all material published by IFIC and to attend conferences and seminars but shall not be entitled to vote. The annual membership fee is UK £25 sterling and is due each year in January.
Membership fees are waived for persons who, at the time of application, are living and working in countries that have a GNI per capita of <$10,000 reported by the World Bank (see IFIC web site).
Your contact information may be provided to Patron Members. Check here if you DO NOT Agree.

Please complete contact details:                                                                        *  indicates mandatory field

Title:
* Name:
* Surname:
* Username:
(for accessing members area)
 *Academic Designations:
* Position:
* Address 1 :
Address 2 :
* City :
Post Code :
* Country:
* Email:
* Confirm Email:
Fax:
Discipline:
Do you belong to an Infection Control Society? Yes     No
If yes, please name:
Name of health care institute:
Discipline:
BRIEF CV : Summary of your involvement in Infection control
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