Conference and membership form 2025


We are delighted to invite you to the first APIO conference in Gold Coast on 3 May 25. This conference is OPEN TO ALL PSYCHIATRISTS AND PSYCHIATRY TRAINEES.
Please fill out this form for registration.

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* 1. Full Name

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* 2. Email address

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* 3. Mobile number

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* 4. Gender

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* 5. Position

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* 6. Do you identify as of Indian origin? (Indian origin implies Indian by ethnicity. Your country of birth is not relevant here. Note: This option is primarily for APIO membership. Choosing NO to this question implies you are not eligible for APIO membership but you definitely can attend the conference as a non-member).

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* 7. Where do you work

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* 8. AHPRA/MCNZ registration number (we ask this to verify your medical qualifications .)

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* 9. Fee options (please choose carefully as applicable - Early Bird ends 24 Mar 25)

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* 10. Please confirm payment by bank transfer.
Account name: Australasian psychiatrists of Indian origin Inc
BSB: 062424
Account number 11014425
Commonwealth bank.
Please enter your FULL NAME AS PAYMENT REFERENCE when making payment.
Please enter the online payment reference number

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* 11. Please indicate any dietary requirements

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