Nomination form
Don't pass up a fantastic opportunity to serve for a good cause. Volunteer to assist in the promotion and establishment of "Neonatal Therapy" in India. 
Check the website for your current membership status.
Only current active professional members are eligible to serve on the executive committee.  
Email *
My name is *
I would like to contest for  *
My membership number is *
Write your intent:
I want work as an executive member because *
A copy of your responses will be emailed to .
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