Sample of request letter for enrolment of Institutes for IAP Neonatology Chapter fellowship Program. The letter must be typed on the letterhead of the Institute

Date: _______________________

 

Status: New Application / Re-Inspection

To,

The Chairperson / In-charge Fellowship Program,

IAP Neonatology Chapter

Address: ______________________________________________,

 

______________________________________________________.

 

Dear Sir / Madam,

 

We would like to apply for recognition of our Institute as a center for fellowship in neonatology by IAP Neonatology Chapter. We fulfill the criteria for recognition laid down by the chapter, detailed in the attached sheet on ‘eligibility criteria’. Our institute is registered with the local health authority, the registration number being _________. The relevant certificate is attached.

 

We have the following teaching / honorary staff associated with the NICU in our institute. Their qualifications and work experience are mentioned below –

 

1)      _____________________________________________________________________

 

____________________________________________________________________

 

2)      _____________________________________________________________________

 

_____________________________________________________________________

 

3)      _____________________________________________________________________

 

_____________________________________________________________________

 

4)      _____________________________________________________________________

 

_____________________________________________________________________

 

The relevant certificates are attached.

 

We request you to please consider our center for conduct of IAP Neonatology Chapter fellowship. We welcome an inspection of our institute and NICU. We will arrange for the travel and boarding of inspectors arranged by the chapter. We understand that our center may not necessarily be selected for the program. We have read and understood the guidelines for the fellowship program.

 

Thank you. Truly,

 

 

___________________________________    ____________________________________

Institute head / Dean / Superintendant              NICU head / Fellowship program coordinator

Cell No. - _______________________ Email ID - _____________________________

            Kindly give details of the fee (Rs. 25,000)

Transaction Electronic/Bank/NEFT/RTGS No. - ___________________ Transaction Date - _______________________

Amount. - _______________________

Membership Numbers of Faculty Members

	Name		Central IAP Membership Number		Neonatology Chapter Membership Number
1	-----------------------------------------------		-----------------------------------------------		------------------------------------------------
2	-----------------------------------------------		-----------------------------------------------		------------------------------------------------
3	-----------------------------------------------		-----------------------------------------------		------------------------------------------------
4	-----------------------------------------------		-----------------------------------------------		------------------------------------------------