MEMBERSHIP APPLICATION

Join THPBA

Complete the form below to apply for membership. Your application will be reviewed by the membership committee.

Tell us about yourself.

Full Name *

Email Address *

Phone Number *

Help us understand your professional background.

Membership Type *

Specialty *

Hospital / Institution

Current Position

Brief Bio (optional)

Make payment via mobile money or bank transfer, then enter the reference number below.

Mobile Money (M-Pesa)

Name: THPBA

Number: +255 XXX XXX XXX

Bank Transfer

Bank: CRDB Bank

Account: THPBA

Acc No: XXXXXXXXXXXX

Payment Reference / Transaction ID

You can submit this later if you haven't paid yet. Your application will be reviewed once payment is confirmed.