AFPM MEMBERSHIP APPLICATION FORM

All information provided on this form will be treated as strictly confidential

Step 1: Personal Details
Step 2: Educational Background & Clinical Experience
Step 3: Membership Application & Proposal
Step 4: Checklist
Create AFPM Online Account

This information will be used to login the system.

This online application is for New Members only. Existing AFPM Members, may contact us for assistance.

A. PERSONAL DETAILS

Please fill in your personal details here. Turn off CAPS LOCK.

Only formal passport photo is allowed.




Please fill in your current work address.



Please fill in your current home/correspondence address.

Once you clicked the Next button, whenever you close the webpage; you may resume your application by logging in with your registered email and password.

You may edit/update your Personal Details after you have Submitted your application.

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