ALPI:  Association of Lactation Professionals India Membership Renewal Form
ALPI Members must follow and adhere to the WHO Code and IMS Act. Before you proceed, please review the links below.

WHO Code:  https://www.who.int/publications/i/item/WHO-NMH-NHD-17.1
IMS Act:  http://www.bpni.org/docments/IMS-act.pdf
ALPI Code of Conduct: https://shorturl.at/cmHM0 
ALPI Scope of Practice: https://shorturl.at/pqCTU 

Please note: Your digital signature on this form act as your verification for both the ALPI Code of Conduct and ALPI Scope of Practice.

Please fill in your personal details to renew ALPI Membership.  ALPI Membership renewal is valid for 3 years, as noted on the ALPI Membership Certificate.  After the ALPI Membership Renewal Form is approved, Team ALPI will send payment details.

ALPI Membership Renewal Process includes:
- Proof of continuing education through ALPI Meet-Ups, events, conferences etc.
          - 25 hours each membership term
          - Education can be I-LEH, CERPs, or other similar education units
- Application for Membership Renewal (by Google Form)
          - A renewal fee (₹2,000 for 3 years)
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Name *
Please enter your name as it should appear on updated ALPI Membership Certificate and Service Directory.
Email *
Work Address *
Phone Number *
Please enter your 10 digit mobile number:
Designation *
Please mention your designation at your work place.  (Lactation Professional, Lactation Consultant, Lactation Counsellor, Nurse, Dietitian, Nutritionist, Pediatrician, Gynaecologist, Dentist, Pediatric Surgeon, eg)
Professional Qualifications and Certifications *
Please list your professional degrees, diplomas or certifications.
Current ALPI Membership No.  *
Type of Lactation Practice *
You can select multiple options. You may mention more details in the next section "Introduction."
Required
Lactation Continuing Education: Lactation Certifications or Lactation Training within the recent past 3 years *
Please list any lactation certifications, training, conferences, courses and lactation education hours received in the past 3 years. This includes both recognized I-LEHs and CERPs continuing lactation education hours. 

Total Requirement: 25 Hours every 3 years
ALPI CODE *
Please tick each item to show your agreement. Selecting each item implies that you have read and understood the clauses. ALPI Members are obliged to abide by this ALPI Code of Conduct.
Required
ALPI Declaration *
Required
Please enter your full legal name.  This will act as your verification for both the ALPI Code of Conduct and ALPI Scope of Practice.  I affirm that the information provide is both accurate and true.
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