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Register - Nepal Pharmaceutical Association
General Info
Qualification
Documents
Details
Login info
First Name
Middle Name
Last Name
Name In Nepali
Click here
for Nepali typing, and then paste.
Date of birth
Nationality:
Please select nationality
Nepali
Indian
Other
Mobile No
Citizenship No
Gender
Male
Female
Other
Permanent Address
Province *
Choose Province
Koshi Province (काेशी प्रदेश)
Madhesh Province (मधेश प्रदेश)
Bagmati Province (बाग्मती प्रदेश)
Gandaki Province (गण्डकी प्रदेश)
Lumbini Province (लुम्बिनी प्रदेश)
Karnali Province (कर्णाली प्रदेश)
Sudurpaschim Province (सुदुरपश्चिम प्रदेश)
Ward number
Street/Tole
Temporary Address
Same as Permanent Address
Province *
Choose Province
Koshi Province (काेशी प्रदेश)
Madhesh Province (मधेश प्रदेश)
Bagmati Province (बाग्मती प्रदेश)
Gandaki Province (गण्डकी प्रदेश)
Lumbini Province (लुम्बिनी प्रदेश)
Karnali Province (कर्णाली प्रदेश)
Sudurpaschim Province (सुदुरपश्चिम प्रदेश)
Ward number
Street/Tole
Type membership requested
Student
Life Associate
Life Ordinary
Registration fees:
Electoral Address
Province *
Choose Province
Koshi Province (काेशी प्रदेश)
Madhesh Province (मधेश प्रदेश)
Bagmati Province (बाग्मती प्रदेश)
Gandaki Province (गण्डकी प्रदेश)
Lumbini Province (लुम्बिनी प्रदेश)
Karnali Province (कर्णाली प्रदेश)
Sudurpaschim Province (सुदुरपश्चिम प्रदेश)
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Academy *
Choose Academy
Phd
Pharm. D
Masters
Bachelor
Diploma in pharmacy
Country *
Choose Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
University/Institution
Graduated year
Current Job Title
Current Employeer
Experience Years
NPC License Number
-
Field of specialization *
Choose Field of specialization
Regulatory Authority and Affairs
Mareting
Academic
Hospital Pharmacy
Community Pharmacy
Industrial
Non-Goveenmental Organization
International Non-Governmental Organizations
Number of research publication (if any)
Research Published Url
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Citizenship
Citizenship Front Side
Citizenship Back Side
Passport size photo
Academic degree certificate
Council Certificate
Character Certificate
Employer/College Card
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Areas of Interest
Regulatory Affairs
Clinical Trials
Research and Development
Manufacturing and Quality Control
Marketing and Sales
Other
Please indicate your level of interest in participating in the following activities
Attending conferences and seminars
Very interested
Somewhat interested
Not interested
Serving on a committee
Very interested
Somewhat interested
Not interested
Participating in networking events
Very interested
Somewhat interested
Not interested
Declaration:I HEREBY AGREE TO ABIDE BY THE CONSTITUTION, RULES AND REGULATION OF THE ASSOCIATION.
Yes
No
By signing below, I certify that the information provided on this form is true and accurate to the best of my knowledge.
Signature
Date
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Email
Password
Confirm Password
Register
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Registration fees:
1. Pharmacist- Rs. 1050/-
2. Asst. Pharmacist- Rs. 525/-
3. Student Members - Rs.250/-