Just and compassionate quality pharmaceutical services for ALL

 

EPN accepts both institutions and individuals to join its network. To be a member of EPN, an institution or an  individual is expected to make formal application and make designated  membership fee payment.

For a successful application process, you are required to complete the following 3 stages:

 

Stage 1: Complete Assessment form

This is a short form that captures information about you and the nature of your work or details about your organization for the case of an organizational application

 

Stage 2: Complete Membership Application form

You will then be complete a Membership Application form.

 

Stage 3: Internal review and approval by the EPN Board

EPN shall then review your application and, thereafter communicate to your on the status of your application.

 

Member Application

EPN accepts applications of both individual entities and organizations

Apply As An Individual

Apply As An Organization

Organization Assessment

Please submit your resonses by completing this assessment form

1. What is your primary or core business?

2. Please describe the ownership of your institution

3. Please select an option that best describes your institution

4. What is the nature of your institution?

5. How would you describe the reach of your institution?

6. Were you recommended to apply for this membership? If you were recommended, you will be required to upload the recommendation letter. If you do not have a recommendation letter, select 'No, I do not have any recommendation'.

Basic Information

Organization's Employees for Contact

Please provide details of the people in your organization, i.e the head of the institution, the person in charge of health/pharmaceutical services, the person in charge of training, the person in charge of communication and the person in charge of finance/accounts as well as any other person you feel may be important for the relationship with EPN. At least one person other than yourself is required.

1st Person
Details of Organisation

Document Uploads

Please provide/attach a brochure and most recent annual report of your organization

Brochure/Report
Recommendation Letter
Information provided by

Individual Assessment

Please submit your responses by completing this assessment form

1. Why would you like to join EPN?

2. What is your area of expertise?

3. What best describes the nature of your work?

4. What is your religious affiliation

Individual Information

Contact Information

Background Information

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