• PASCAR Individual Membership Form

    PASCAR Individual Membership Form

  • Dear Colleague in Cardiology across Africa,

    PASCAR is a non-profit organisation that affiliates and works closely with national cardiac societies and organisations across Africa. Official Society affiliation with PASCAR extends to the individual health care practitioners of the affiliated country. However, all health care practitioners in Africa (or from Africa) may indicate their areas of interest and receive communication from and contribute to PASCAR.

    Kindly complete the PASCAR Individual Membership Form (free of charge) and we will add you to our database to keep you abreast of news and opportunities in cardiology in Africa.

     

  • Type of Membership *You must be deemed worthy of membership by the Governing Council of PASCAR. (*by type of membership)*
  • Title*
  • Specialty*
  • Please indicate if you are principally in:*
  • Your specific cardiology field of interest:*
    Rows
  • I wish to get actively involved in the following PASCAR Task Force Committees (only select 3):*
    Rows

  • Maximum selection allowed 3 only

  • Form Submission Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: