PSYCHODERMATOLOGY ASSOCIATION OF INDIA

Reg No: 86/2019-20 (Udupi)

Headquarters: Dr Hafi's revive skin clinic,
Methottuthazham, Pottammal-
Kattukulangara-Palazhi Rd,
Nellikkode, Kozhikode, Kerala 673014

Email: psychodermatologyindia@gmail.com

THE MEMBERSHIP TO PDAI IS OPEN TO
  1. Dermatologists, Psychiatrists, Clinical Psychologists and psychotherapists involved in patient care and interested in the field of psychodermatology.
  2. Any health care professionals who are interested in the specialty.
  3. Students of dermatology, psychiatry, psychology, psychotherapy and allied specialties who have interest in this field.
  • Any person who desires to become a member of the society shall apply to the Secretary, in the format as prescribed by the Board of management. The application will be signed by the applicant and payment of fees made through online portal. The membership fees may be increased once in two years subject to approval by the General Body.
  • The managing committee will have the absolute discretion to accept or reject the application without assigning any reason for refusal or acceptance. If any application is refused, the amount paid by his/her along with the application will be refunded.
  • A person whose application is accepted will be deemed to be a member from the date the application has been loaded at the office the society and the membership amount paid and such member shall be bounded by the rules and regulations of the society as amended from time to time.
THE MEMBERSHIP IS OF 4 CATEGORIES
  1. Life Membership: Dermatologists, Psychiatrists (MD / Diploma) and Clinical Psychologists (MPhil / PhD) can register. Registration fees is Rs 5,000/- Address proof, Aadhar copy and qualification proof has to be uploaded in the online registration form. A reference from a senior person may be required at times.
  2. Associate Life Membership: MBBS, other medical specialists and mental health professionals can register for this membership. Registration fees is Rs 6,000/-. Address proof, Aadhar copy and qualification proof has to be uploaded in the online registration form.
  3. Student Membership (annual): Students can register for this membership. Registration fees is Rs 1,000/- per year. Address proof, Aadhar copy and qualification proof has to be uploaded in the online registration form. A proof from head of the institution will be needed.
  4. Corporate Membership (Annual): This is for medical companies who wish to associate with PDAI. Registration fees is Rs 20,000/- per year. Address proof has to be uploaded in the online registration form.
  5. Honorary Membership: This is exclusively an invited membership for reputed persons of one of the specialities or a prominent person in the country or abroad.
PRIVILEGES FOR MEMBERS:
  1. Only life members of category 1 have the right to vote and stand for elections.
  2. There will be reduced conference fees for all members.
  3. Life members can avail certain complimentary workshops.
  4. Access to members restricted login of PDAI website wherein there is provision to interact with other members of various specialities including international members.
  5. Chat section for discussion of cases.
  6. Free access to PDAI journal in future.
MEMBERSHIP APPLICATION FORM (To be filled in Block Letters)
FIRST NAME:
MIDDLE NAME (Optional):
LAST NAME/SURNAME:
DATE OF BIRTH:
(For DOB Attach Any Govt. ID Proof):
GENDER:
PRESENT ADDRESS:
(For Address Attach Any Govt. ID Proof):
EMAIL ID:
MOBILE:
QUALIFICATIONS:
(Attach Your Medical Registration Certificate) :
CURRENT PRACTICE & POSITION :
ORGANIZATION TYPE :
APPLIED FOR:

I do hereby declare that the above information is true and I have not withheld any information whatsoever regarding the application. I solemnly affirm that I will uphold aims and objectives of the PSYCHODERMATOLOGY ASSOCIATION OF INDIA to the best of my ability and I agree to abide by the conditions laid down in the BYE LAWS of PSYCHODERMATOLOGY ASSOCIATION OF INDIA. I further agree to abide by the amendments, alterations, which may come into force from time to time in the future.