American Association of Bangladeshi Pharmaceutical Scientists

PHONE

ADDRESS

6639 Trail Side Dr
Flowery Branch, Georgia 30542

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Membership Application Form

First Name

Middle Initial

Last Name

Phone Number

Gender

Address

City

State

Zip Code

Type of Affiliation

Pharmaceutical/Biotech Academia Government Others (Specify please)

Name of Affiliation

Current Job Title

How long have you been working in your area of specialty?

Terminal Degree

Field of Study or Major

If student, then current university and expected year of graduation

If student, are you looking to be a mentee?

If student, do you want to volunteer at AABPS?

Are you willing to mentor or guide students?

Yes No

Note: The membership due is paid separately, and the link is given once the form is submitted.