ADLD Membership Application Form

    Contact Details:

    What Kind Of Activities Are You Interested In (Mark Relevant)

    • I confirm that nothing within my personal or professional background deems me unsuitable for a position which involves working with patients.
    • I understand that I will be required to adhere to the Principles of the Alliance for Diabetes & Liver Diseases.
    • I understand that I will be bound by the Constitution and Operating Rules of the Alliance for Diabetes & Liver Diseases.
    • I declare that the above information is true and I agree to accept the terms and conditions of membership of the Alliance for Diabetes & Liver Diseases.
Complete the form to become a official member of ADLD (Alliance for diabetes & Liver Diseases) and get involved in our activities.
As a member of the Alliance for Diabetes & Liver Diseases we will provide free screening for diabetes and liver diseases including annual medical checkup. We may write to you occasionally to keep you updated on current projects and appeals.

PRIVACY POLICY
We hold information about our members. It is not our policy to pass names, addresses or contact details of our members to third parties for their use.

Visit Us
Alliance for Diabetes & Liver Diseases, 11, Hill Road, Sector F 6/2 Islamabad.