MEMBERSHIP APPLICATION FORM

Life Membership Fee: Rs. 5000/-

Membership fee can be paid online by clicking the link below




OR You might pay it via wirefransder or through a crossed bank draft drawn in favor of “INDIAN PANCREAS CLUB” payable at New Delhi.

Please communicate the details of transaction to IPC office at secretariat@indianpancreasclub.com

Bank details are as follows
State Bank of India
Ansari Nagar, New Delhi-110029
Bank Account Number: 38786793311
IFSC CODE: SBIN0001536

**A proposer should send a confirmatory email to the secretariat to this effect. However, if there is no suitable proposer for your membership then you may send the form without the proposer's name and details, and the secretariat will decide about your membership based on your credentials.

The following fields are not mandatory for submssion:
Name proposed by
IPC number
Proposer's email
Proposer mobile.