BAPS MEMBERSHIP APPLICATION FORM

There are 3 categories of membership:

 Ordinary Members: Consultant surgeons living in the British Isles who engage in paediatric surgical practice as a major component of their work

 Overseas Members: Consultant surgeons (or the equivalent) outside the British Isles who engage in paediatric surgical practice as a major component of their work

 Associate Members: (UK or Overseas)

 (i) surgeons in training grades

 (ii) non-consultant career grades in paediatric surgery

(iii) consultants in related specialities

For current subscription rates click here Overseas subscription rates vary according to the country of origin

Please first select
the Membership type
for which you are applying:

Membership type
First Name
Last Name
Date of Birth
Sex Male Female
Title
Degrees and Diplomas with dates
Present hospital post
Hospital/Institute
Address
Address
Address
Town/City
Postal Code
Country
Telephone number
Fax number
Email address
Do you hold ultimate responsibility for patients?
Is your practice solely confined to children?
If not, what proportion of your time is occupied looking after ADULTS?%
How long have you held your present position?Months/Years
If you are applying for Associate Membership, is your current appointment a training post in paediatric surgery?
State any other Paediatric Surgical Associations of which you are a member
Please provide the name and address of a paediatric surgeon who is a member of BAPS who is prepared to support your application: (for UK applicants this should be a UK surgeon. For overseas applicants this should be a surgeon in your own country)