ALPI:  Association of Lactation Professionals India Membership 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

Please fill in your personal details to apply for ALPI Membership.  The ALPI Executive Team will review your application and give a response within 1 business week. The ALPI ET has the right to reject an application if deemed in alignment with ALPI Code of Conduct and Scope of Practice. 
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Name *
Please enter your name as it should appear on 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 Consultant, Lactation Counsellor, Nurse, Dietitian, Nutritionist, Pediatrician, Gynaecologist, Dentist, Pediatric Surgeon, eg)
Type of Practice *
You can select multiple options. You may mention more details in the next section "Introduction."
Required
Introduction
Please tell us about yourself and your work in a short introduction.
Lactation Certifications or Lactation Training *
Please list any lactation certifications, training or courses.  If you are currently a lactation student, please mention that.
I have completed my lactation certification/ training. *
If you have not completed your lactation certification or training, we will assign you "ALPI Student" status.  Once you have your certificate, please send to ALPI at: info@lactationprofessionalsindia.com
Professional Qualifications and Certifications *
Please list your professional degrees, diplomas or certifications.
Professional Associations *
List any memberships with professional groups or forums (eg IAP, BPNI, ILCA, MCI, DMC, Nursing councils, etc.)
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
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