INDIAN ACADEMY OF PEDIATRICS Kailas Darshan, Kennedy Bridge (Nana Chowk), Mumbai-400007 INTERNATIONAL IAP MEMBERSHIP FORM Name of the Applicant: ………………………………………………………………………………………………….. Date of Birth: ………………………………………. Sex: …………………………………………………………….. Communication Address: …………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………. Country: ……………………………………………. Nationality: …………………………………………………….. Telephones (ISD CODE) …………………………… (CITY CODE) …………………………………………………. Resi: ………………………….. Off: ………………………………..FAX: …………………………………………… Mobile: ……………………………………………. Email ID: ……………………………………………………….. Medical / Pediatric Qualification Place: Date : Name of the University Qualifying Year ______________________ (Signature of the Applicant) MEMBERSHIP INFORMATION Membership is open to the members of the member societies of International Pediatric Association. Only International Associate Membership is granted by the Indian Academy of Pediatrics on annual basis only. Membership should be renewed every year to ensure continuity without a break. Re-admission fee will be charged if there is a discontinuity in membership renewal for a period of 1 year. The member will be enrolled during any time of the calendar year but the membership will be charged for the full calendar year of his/her enrollment although such a member is enrolled during anytime of the calendar year. The membership year is computed from 1st January every year. All communication with the International Associate members will be made via email only. The content of the journal – “Indian Pediatrics” is available on its website: www.indianpediatrics.net The International Associate Member may visit this website for content of the journal in electronic form. If any member would like to have a hard copy of the journal, the same will be made available to him / her and will have to subscribe for it separately at the prevailing rate at the time of subscribing and bear the airmail charges. The subscription details may be obtained from the Editor-in-Chief, Indian Pediatrics, Post Box No. 3889, New Delhi-110049. Email ID: jiap@hub.nic.in MEMBERSHIP FEE Geographical Regions / Institutions SAARC Region (Bangladesh, Bhutan, Nepal, Maldives, Pakistan and Sri Lanka) Annual Subscription Rate Admission Fee Total US$ 15/- US$ 15/- US$ 30/- NON-SAARC REGION US$ 50/- US$ 15/- US$ 65/- Members of AAP (American Academy of Pediatrics). A copy of AAP membership certificate should be submitted along with the application. US$ 25/- US$ 15/- US$ 40/- The Membership Fee should be paid by a crossed bank draft drawn in favour of “INDIAN ACADEMY OF PEDIATRICS” payable at Mumbai. Communication to: HONY. SECRETARY GENERAL INDIAN ACADEMY OF PEDIATRICS KAILAS DARSHAN KENNEDY BRIDGE (NANA CHOWK) MUMBAI-400007 Phones: 00-91-22-3889565/3887922/3887906 Fax: 00-91-22-3851713 E-mail : iapcoff@bom5.vsnl.net.in / iapbom@vsnl.com Website: www.iapindia.org INDIAN PEDIATRICS Journal of the Indian Academy of Pediatrics Date………………………… Ref.No.IP/Subs./2003 Dear Sir, INDIAN PEDIATRICS is the official publication of the Indian Academy of Pediatrics. It is the most widely circulated Pediatric Journal in the country with a monthly subscription of over 14,000. Its readership includes pediatricians, Research Scholars, General Practitioners and Students. It has wide readership in foreign countries also and is subscribed to by all medial libraries and National and International Health Agencies. INDIAN PEDIATRICS publishes important original research work in various fields of Pediatrics, Therapeutics, Pharmacology and other allied Specialties. This is journal is being indexed by several leading International Indexing Agencies. It has recently received an award for the best Indian Medical Journal. The ISSN number of the Journal is ISSN 0019-6061. The Subscription rates for direct subscribers for the year 2003 (Vol. No. 40; 12 issues) are revised due to steep rise in the production cost, particularly due to the price of papers and postage charges. Category Institutional/Libraries Individuals(Doctors) Single Issue Annual Subscription US$ 300.00 US$ 200.00 US$ 30.00 (Price inclusive of handing charges and AIR MAIL postage) IMPORTANT NOTES: 1. We have not Appointed/Authorized any subscription agents and distributors for supply of the Indian Pediatrics Journal in the foreign countries. Please do not send the payments to the agents for subscribing the Indian Pediatrics Journal in future. 2. Discount offered to subscription agencies is 10% . 3. All subscriptions are payable in advance. Kindly send your renewal/new subscription charges as early as possible. 4. Remittances should be made through a cheque Drawn in favor of “Indian Pediatrics”. Kindly send the cheque at the following addresses given below. Yours Sincerely Editor-in-chief Please address routine correspondence to: The Editor-in-chief, Indian Pediatrics, Post Box 3889, New Delhi – 110 049, India. Mail Registered Letters to: Dr. Panna Choudhury, Editor-in-Chief, Indian Pediatrics, Department of Pediatrics, Maulana Azad Medical College, New Delhi – 110 002. Telephone: (O) 011-3236031; (R) 011-467-4211, Journal Office (Telephone): 011-625 2265 Email: jiap@hub.nic.in; Website: www.indianpeidatrics.net