Please read the Affiliate membership eligibility criteria before completing the application form. Complete all sections and submit with a copy of your current full curriculum vitae (CV).
You must be currently registered with the GMC or the relevant professional body in the country in which you are practising or where you were awarded your primary medical qualification.
Primary medical qualification
Your medical school and qualification must be listed in the WHO Directory.
Connection to pharmaceutical medicine
I would like to apply for Affiliate membership of the Faculty of Pharmaceutical Medicine (FPM) as indicated, and declare that the information given on this form is true to the best of my belief and knowledge. I hereby consent to being admitted to membership of FPM and faithfully promise to abide by FPM's Articles of Association and Regulations and the Laws, Bye-Laws, Statutes and Regulations of the Parent Colleges as they apply to members of the Faculty of Pharmaceutical Medicine.