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    • Membership application

     

    EPN accepts both institutions and individuals to join its network. To be a member of EPN, an institution or an  individual is expected to make formal application and make designated  membership fee payment.

    For a successful application process, you are required to complete the following 3 stages:

     

    Stage 1: Complete Assessment form

    This is a short form that captures information about you and your work or details about your organization for an organizational application

     

    Stage 2: Complete Membership Application form

    You will then be complete a Membership Application form.

     

    Stage 3: Internal review and approval by the EPN Board

    EPN shall then review your application and, thereafter communicate to your on the status of your application.

     

    Member Application

    EPN accepts applications of both individual entities and organizations

    Apply As An Individual

    Apply As An Organization

    Organization Assessment

    Please submit your resonses by completing this assessment form

    1. What is your primary or core business?

    2. Please describe the ownership of your institution

    3. Please select an option that best describes your institution

    4. What is the nature of your institution?

    5. How would you describe the reach of your institution?

    6. Were you recommended to apply for this membership? If you were recommended, you will be required to upload the recommendation letter. If you do not have a recommendation letter, select 'No, I do not have any recommendation'.

    Basic Information

    Organization's Employees for Contact

    Please provide details of the people in your organization, i.e the head of the institution, the person in charge of health/pharmaceutical services, the person in charge of training, the person in charge of communication and the person in charge of finance/accounts as well as any other person you feel may be important for the relationship with EPN. At least one person other than yourself is required.

    1st Person
    Details of Organisation

    Document Uploads

    Please provide/attach a brochure and most recent annual report of your organization

    Brochure/Report
    Recommendation Letter
    Information provided by

    Individual Assessment

    Please submit your responses by completing this assessment form

    1. Why would you like to join EPN?

    2. What is your area of expertise?

    3. What best describes the nature of your work?

    4. What is your religious affiliation

    Individual Information

    Contact Information

    Background Information