Welcome | Login

Membership Application

Please note: if you have not yet completed your CPD card, you may renew or join as an Associate Member. This will not affect your membership benefits. You can then submit your CPD record to become a Member or Fellow at a later date.

Personal Details
Title*
First Name*
Other Names
Surname*
Qualifications
Job Title*
Direct Dial Number*
Fax Number
E-mail address*
How did you hear about PIPA?
Other

Company Details
Company Name*
Department Name
Address*
(as per company letterhead)
Town*
County*
Postcode*
Country
Company Telephone Number*
VAT Registration Number
Purchase Order Number

What category of membership are you applying for?*

Associate Click for info

Entry level for those with no or little relevant work experience. Also for those working in affiliated areas e.g suppliers, recruitment agents. No minimum education specified. No requirement to commit to CPD.

Member1 Click for info

Equivalent to the previous Full Membership category. Members should have a degree, ideally in a life science, a nursing or pharmacy (e.g. pharmacy technician) qualification; the equivalent to two years full time work experience in medical information and/or pharmacovigilance; and 40 CPD points acquired over the preceding two year period.

Fellow2 Click for info

New category, created to recognise those with many years work experience in medical information and/or Pharmacovigilance. Minimum of ten years full time work experience in medical information and/or pharmacovigilance. Members must submit an application to become a Fellow, which must be accompanied with evidence of their eligibility, e.g. abbreviated CV, CPD Record card for at least the last two years.
Are you applying to upgrade you membership status?*
Yes No
From Associate to Member1
From Member to Fellow2
Renewing membership or new application?*
I am applying for new membership
I am renewing my membership
Membership Number

For all applicants applying for Member or Fellow status

By submitting this request, you agree to commit to the PIPA continuing professional development scheme for the forthcoming year.

All Applicants
Do you supervise other staff or manage your information unit?
Yes No

Use of information provided
Please check to confirm that you understand that your contact details will be retained by the PIPA Administrators for the delivery of PIPA services *
Are you in agreement for your contact details to be visible on the membership list on the website (accessible to other PIPA members only)? *
Yes No

1. A copy of your current CPD card, covering at least the last two years is required to support your membership application. These can be uploaded at the end of the registration process.

2. A copy of your current CPD card, covering at least the last two years, plus a copy of your current CV are required to support your membership application. These can be uploaded at the end of the registration process.

Note: To comply with data protection requirements, all documents submitted to support a membership application will be deleted once your application has been processed.