WACP INDUCTION PHOTO SUBMISSION

Kindly complete the form below and upload the following documents for the 2026 Induction:

• A Portrait photograph in your College regalia

Dress Code:

• Membership: Gown only

• Fellowship: Gown and cap, with the cap tassel positioned on the left shoulder in your faculty colour

Title: Select Title Dr Mr Mrs Ms
First Name:
Middle Name:
Surname:
Email:
Phone Number:
Chapter: Select Chapter Benin Burkina Faso Cote D'Ivoire Ghana Guinea Conakry Liberia Mali Niger Nigeria Senegal Sierra Leone The Gambia Togo
Faculty: Select Faculty Community Health Family Medicine Internal Medicine Laboratory Medicine Paediatrics Psychiatry
Select Inductee Status: Choose One Fellowship Membership

Upload Portrait Induction Photo

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Attach your photo passport (.jpg, .png)

We'll auto-adjust it to white background & 600x800 size

Recommended: ≤ 500KB

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Submit