TEST AOPA MEMBERLife Membership₹1,000.00BECOME A MEMBER – FOR PEDIATRICIANS ONLYNOTE : - If you are a CIAP MEMBER & have a permanent resident in Gujarat, you can become AOP Ahmedabad member by registering with the form below and paying Rs. 1,000/- life membership fee. - Fill all the details as per records in CIAP for verification. - Once your details are verified, your account will be activated. After that, you will able to log in to your account. - For any query you can contact us on aopahmedabad@gmail.com REGISTRATION FORM All fields marked with * are mandatory to enter * Mobile Number (Username)Allow only 10 digit * Surname * NameGenderMaleFemale * Date of Birth * Email Address * Confirm Email Address * PasswordStrength: Very Weak * Hospital Address * Residential Address* StateGujarat * State * City * Pincode * CIAP NumberProfile PictureDone(Use Cropper to set image and use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.jpg, jpeg, png / Max 5 MB Select Your Payment GatewayRazorpayHow you want to pay?Auto Debit PaymentManual PaymentPayment SummaryYour currently selected plan : , Plan Amount : Final Payable Amount: PAY NOW Already have an account? Login