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Overseas Fellowship form

Eligibility criteria for ICP Fellowship can be found Here

For any queries, please email at api.hdo@gmail.com or call at - +91 7710020034,+91 7710029211

Please mention NA in case of no information available for any point.

ICP Fellowship applications submitted after 7 January 2026 will be considered for fellowship for the year 2027.

* is required

PDF Form

Basic Info

First Name*
Middle Name
Last Name*
Date of Birth*
Profile Image*
Only JPG / JPEG / PNG are allowed (Upto 5 MB)
Address Residence*
City*
State / Province / Territory Etc.
Zip Code
Country *
Address Office*
City*
State / Province / Territory Etc.
Zip Code
Country *

Contact

Mobile*
Email*
Telephone

Degree

Postgraduate degree in Medicine*
Institute*
University*
Year of passing*
Attach Proof*
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)
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Experience in Medical Profession after Post Graduation in Medicine

Name of Hospital/Clinic/Organisation*
Location*
Number of Beds (if applicable)
Post Held*
Period Served year wise (From)*
Period Served year wise (To)*
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Publications (If number of publications in Journals exceeds 8, publications which can qualify as research papers may be listed under Research work section)

a. Number of Publications in Indexed National / International Journals*
b. Number of Chapter in Books / monograms*
c. Number of Editorship of National level or State level Book /Monogram/Update Series*
Article Title*
Publisher Name*
Published Year*
Attach Proof*
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)
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Honours And Awards

(a) Oration in National / State Association Meeting

Title of Oration
Organisation
Year
Attach Proof
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)

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(b) Award National / International / or State level

Title of Award
Organisation
Year
Attach Proof
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)

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Research work

(a) Research sanctioned & funded by Research Agency

Research Title
Agency Department
Research year
Attach Proof
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)

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(b) Departmental Research. (To qualify, the findings should be published in National/International Journal. Do not include papers already listed under Publications)

Research Title
Agency Department
Research Year
Attach Proof
Only PDF / JPG / JPEG / PNG are allowed (Upto 5 MB)

Add Another

Proposer And Seconder Details

Note: The Fellowship form should be proposed and seconded by Founder Fellow / Fellow of ICP only. In case there are more than 3 nominations by any proposer/seconder, the first three nominations in order of receipt in API Office and complete in all respects will be considered for award of Fellowship of ICP and the others rejected for consideration.
Proposer Name*
Proposer Membership Number*
L -
Proposer Mobile Number*
Proposer Email*
Seconder Name*
Seconder Membership Number*
L -
Seconder Mobile Number*
Seconder Email*

The Indian College of Physicians

The Indian College of Physicians is the academic wing of the The Association of Physicians of India, a professional body of consultant physicians formed in 1944. It’s members are physicians with postgraduate qualifications in different specialities. ICP was started in 1986 and its first convocation was held in January 1987.

Links

JAPIICPPRFMembers Directory

Contact Info

Association of Physicians of India

Unit No. 3301, Tower “D” Prestige Turf Estate, Shakti Mills Compound, Dr. E. Moses Road,Mahalaxmi West, Mumbai – 400011 Maharashtra.

Tel : +91 7710020034
Tel : +91 7710029211
Email : api.hdo@gmail.com
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