Membership > Paediatrician's Profile

Title:  
Surname:  
First Name:  
Other Names:  
Gender:     
Email:  
Telephone1:  
Telephone2:  
Fellowship Obtained:  
 
  Other
 
 
Year of Fellowship:  
PAN Registration    
Have you been inducted? :     
Year of Induction:  
Work Info    
Work Area:  
 
 
 

 
  Others
 

What Level of facility are you working if in a health setting?:

 
      
Health Institution(s):    
Location of Institution (Where you work)  
Full Address:    
City:    
LGA:    
State:    
Resident Country:    
Practicing Subunit/
Area of Interest:
   
PAN Office Participation Details  
Ever held office in PAN? :    
PAN office post held (1):  
Tenure From: Month  Year  
To: Month  Year  
PAN office post held (2):  
Tenure From: Month  Year  
To: Month  Year  
PAN office post held (3):  
Tenure From: Month  Year  
To: Month  Year