PSN - Pharmaceutical Society of Nigeria

Let's get started

Please Note: Fields marked with an asterisk (*) are required for conference registration. We appreciate you completing the other fields to assist us with our member database efforts. Thank you!.

Personal Information:

* Surname:

* First Name:

Middle Name:

* Gender:

Date of Birth:

* Email Address:

* Confirm Email Address:

* Phone Number:

Alternative Phone Number:

Home Address:

Educational Details:

University of Graduation:

Year of Graduation:

Other Degrees:

Professional Details:

* PCN Registration Number:

* Select State of Practice:

* Are you a Member of PSN Board of Fellows:

Specialty Area:

* Technical Group:

Interest Group:

Employment Status:

Work Address:

Next of Kin Details:

Next of Kin Full name:

Next of Kin Address:

Next of Kin phone number:

Others:

Professional Development and Certifications:

Research Publications or Contributions to the field:

Social Media Links or Professional Profiles:

Go Back