Student Membership Application

    IPU Student Member Application form

    Membership of the IPU shall be open to any student enrolled in one of the schools of pharmacy operating within the Irish State and to any Irish citizen enrolled in a school of pharmacy outside the Irish State that is recognised by the IPU (“Student Member”). The annual subscription for a Student Member shall be waived. A Student Member shall not be qualified to be elected as a member of the IPU Executive Committee, or be entitled to receive notice of or vote at any general meeting of the IPU. Student Members shall be entitled to receive the IPU Review and any other documentation deemed by the Executive Committee to be of general interest.

    1. Personal Information

    Title (required)

    First Name (required)

    Surname (required)

    Postal Address (required)

    Email Address (College email) - (required)

    Tel No (required)

    Mobile (required)

    2. College Information

    Name of College

    College Start Date (M / Y)

    /

    College End Date (M / Y)

    /

    Upload Student ID

    * This data is for verification purposed only and is stored securely and for a limited time only

    * Max size: 2 Mb

    I accept the Privacy Policy

      IPU Student Member Application form

      Membership of the IPU shall be open to any student enrolled in one of the schools of pharmacy operating within the Irish State and to any Irish citizen enrolled in a school of pharmacy outside the Irish State that is recognised by the IPU (“Student Member”). The annual subscription for a Student Member shall be waived. A Student Member shall not be qualified to be elected as a member of the IPU Executive Committee, or be entitled to receive notice of or vote at any general meeting of the IPU. Student Members shall be entitled to receive the IPU Review and any other documentation deemed by the Executive Committee to be of general interest.

      1. Personal Information

      Title (required)

      First Name (required)

      Surname (required)

      Postal Address (required)

      Email Address (College email) - (required)

      Tel No (required)

      Mobile (required)

      2. College Information

      Name of College

      College Start Date (M / Y)

      /

      College End Date (M / Y)

      /

      Upload Student ID

      * This data is for verification purposed only and is stored securely and for a limited time only

      * Max size: 2 Mb

      I accept the Privacy Policy

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