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NPUK Membership Form

This form takes approximately 2 minutes to complete. All information provided will be handled confidentially and used solely for NPUK-related purposes.

Name

*

Email

*

Primary Medical Qualification Country

*

Current Role/Grade

*

(Membership is FREE for all categories until first Annual General Meeting)

Region/Location

*

Committee interests

*

Committee interests

What you expect from NPUK?

How did you hear about NPUK?

Heritage Confirmation

*

Heritage Confirmation

I confirm that I am of Nigerian origin, citizenship, or ancestry

Questions? Kindly email info@npuk.org.uk