Contact Details

Secretarial details:

All correspondence to BSPGHAN should be sent to

Mrs Carla Lloyd
BSPGHAN Administrator
5 Woodthorpe Drive
Pedmore
Stourbridge
West Midlands
DY9 7JX

Tel: 07969 107801 (daytime) 01384 866446 (evening)
Fax: 01384 866446

Email: administrator@bspghan.org.uk

 

Download the BSPGHAN expenses claim form by clicking here

Download information about becoming a member of BSPGHAN: click

 

Webmaster

Naved K Alizai
Consultant Paediatric Hepatobiliary Surgeon & Barrister
Children's Liver and GI Unit
St. James's University Hospital
Leeds
LS9 7TF

Tel: 0113 206 6689/07827 307607
Email: webmaster@bspghan.org.uk

 

All requests to put entries on the website should be sent to the webmaster in a digital form, preferably as a WORD file. Please refer to the meetings page for the format of entries.  Alternatively I can accept flyers as PDF or HTML files.

please use the form below to update your details

Change of Details Form

This update form is only for current members. If you wish to joint the BSPGHAN as an associate member please download the proposal form from the associate members page. Full and trainee members need to be proposed by a current member. The member can obtain a proposal form from the secretary at secretary@bspghan.org.uk .

Your details can be updated by downloading the Membership Registration Form and posting or emailing this back to our secretary or alternatively you can complete the online form below which will be automatically sent to our secretary:

» Download Membership Re-Registration Form 


Membership Details

Title :
First Name:
Middle Name:
Surname:
Previous Surname:
Preferred Name:
GMC Number (if applicable):
Primary Institutional Affiliation:
Secondary Institutional Affiliation:
Deanery (if applicable):
Employer:

if other* above:
Full Member Category
(Please select only one)







if other* above:
Full Member Terms
Associate Member Category





if other* above:
Associate Member Terms

Contact Details

Work Address (for correspondence):
Home Address:
Degrees/Diplomas (for correspondence):
Telephone (Work):
Telephone (Home):
Mobile number:
Fax Number:
E-mail Address:
I agree for the following information to be published, please tick: Work Telephone
Home Telephone
Mobile Telephone
Fax
E-mail

Special Interests

Clinical Activity:
Choose most appropriate description






Main Areas of Interest:
Please tick all that apply
Clinical Practice
Patient Based Research
Laboratory Based Research
Epidemiology

Confidential Information

Date of Birth:
Sex:

Anticipated year of Retirement:
Name of Standing Account Holder:

 

Your details will be sent to Mrs Lloyd who manages secretarial services for BSPGHAN

 

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