Fees and Applications

Fees

PAHPBS membership runs for a calendar year, 1 January – 31 December.
The 2021 membership will be launched in early December 2020.

2020 Membership Application (membership expires 31 December 2020)
All dues and applications should be processed on or before the 30th of November every year

Regular Fellow: Induction (P2000) and yearly membership (P3000)
Associate fellow: Induction (P2000) and yearly membership (P3000)
Affiliate Surgeon: Induction (P2000) and yearly membership (P3000)
Affiliate allied Medical Professionals: Induction (P2000) and yearly membership
Non-Medical Applicants: Induction (P2000) and yearly membership

Fees should be deposited to:

Security Bank account number 0000010545183
Philippine Association of Hepato-Pancreato-Biliary Surgeons, Inc. (PAHPBS)
Checking Account

* Senior applicants 65 ≥ waived application/induction fee.

Online Application Form

Surname *

First Name *

Middle Name

Suffix

Age

Gender

Type of Membership

Mobile Number *

Email address *

Telephone Number

*for NEW Regular Fellow, Associate Fellow, Affiliate Surgeon and Affiliate Allied Medical Professionals

Medical School Attended

Year Graduated

Residency

Inclusive years of Residency

Training Institution

Specialty

Year of induction

Subspecialty

Year of induction

Main Hospital and Place of Practice

Office/Clinic Address

*for NEW Regular Fellow, Associate Fellow and Affiliate Surgeon

Year of Induction as Philippine College of Surgeon Fellow

Training Institution

Hepatopancreatobiliary Surgery Fellowship

Inclusive Years

*for NEW Regular Fellow

Passed Hepatopancreatobiliary Subspecialty Boards (Year)

Uploads

Proof of Employment (Only for Non-Medical Applicants)

Choose File

Valid PRC License

Choose File

Certificate of Residency Training

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Specialty Board Certificate

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Certificate of Fellowship (PCS) in Good Standing (at least 2 years PCS fellow)

Choose File

Certification from the Chairman of the Department of Surgery / Medical Director that he practiced HPB surgery for 2 years including the certificate of good ethical and moral practice

Choose File

Application letter/ Letter of intent addressed to: Alex Erasmo, MD (Chairman, Committee Membership and Credentials)

Choose File

Two (2) 2x2 colored ID pictures

Choose File

Deposit Slip

Choose File

*only for Regular Fellows

Certification for passing the Philippine HPB Certifying Exam

Choose File

I attest to the veracity of the information that I have personally placed in this application form. I agree that the society reserves the right to accept or reject my application.