Phone : +91 88003 48582
Email : contact@ahpi.in
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Enrolment Form For Membership - Medical Colleges

01 Institution & Location Details

Fields marked with * are mandatory
College name is required
Affiliated University is required
Please select a state
District is required
City is required
Valid 6-digit pin code is required
Complete postal address is required
Telephone number is required
Website URL is required

02 Leadership & Contact Details

CEO/Principal name is required
Valid CEO/Principal email is required
Valid 10-digit phone number (starts with 6-9) is required
Primary Contact Person
Contact person name is required
Valid Contact Person email is required
Valid 10-digit phone number (starts with 6-9) is required

03 Ownership & Academic Curriculum

Please enter a valid number of beds
Please select at least one curriculum offered
Your institutional details are securely transmitted to the AHPI portal.