New Member Registration

Please fill out the form below to register as a new member of the Pakistan Psychiatric Society. All fields marked with an asterisk (*) are required.

Profile Photo

Max file size: 2MB. Accepted formats: JPG, PNG

First Name *

Last Name *

Father/Husband Name *

Date of Birth *

CNIC Number

PMDC Number *

Email *

Phone *

Designation *

Sub Specialty

Qualifications *

Upload Academic Document (PDF, Word, Excel, or Image)

Institution/Hospital/Clinic Name *

Province *

City *

District

Tehsil

Address with City *

Practicing Days *

Timing *

Address with City

Practicing Days

Timing

Address with City

Practicing Days

Timing