Membership Registration | APC Medical Council

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Personal Profile

Title

Firstname

Lastname

Email Address

Phone number

Gender

Address

Password

Confirm Password

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Ethical Clearance

To continue, confirm acceptance of all required policies and obligations.

Acceptance of Terms and Condition Acceptance of Members Induction Acceptance of Privacy Policy Acceptance of Rules and Regulations

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Civic Membership Details

APC Membership Card Number

Select State

Select LGA

Select Ward

Polling Unit

Membership Category

Doctor Verification Documents (Optional)

Upload these after successful payment from your member dashboard to avoid file loss during checkout redirect.

Document Name

Document File

Preferred Contact

Phone SMS Email

Declaration: I hereby solemnly and sincerely declare that all information provided is true and accurate. I agree to abide by the bylaws and code of ethics and decisions of the APC Medical Council.