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A medical practitioner resident in the Pacific Islands who is recognised as a consultant physician, or who is enrolled in a recognised physician training programme is eligible for membership as a Pacific Associate Member.
R1C1W12
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Associate Type
(None)
Consultant Physician
Pacific Associate Member
Physician Trainee
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Title
(None)
A/Prof
Assoc Prof
CAProf
Dr
Miss
Mr
Mrs
Ms
Prof
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Given Name
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Surname
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Position
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Gender
(None)
Female
Male
Unknown
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Date of Birth
April 2024
April 2024
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Date must be between 1/01/1900 12:00:00 AM and 31/12/2099 12:00:00 AM
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Mobile Phone
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Email
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Please provide valid email
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Create your password
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Password must be at least seven characters long
Confirm password
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Password and Confirm Password must match
Application Started
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No
Yes
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Application Status
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Application Approved
Application Completed
Application Incomplete
Application No Payment
Application Pending Approval
Application Submitted
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