New Member Application

Get Started

Start your application for PDL membership by completing the details below, then click ‘Submit’ and follow the prompts. PDL membership includes your professional indemnity insurance cover. Membership renewal is due 4pm on 30th April annually. If you are already a PDL member please login to the member portal to renew.

Salutation

First Name

Middle Name

Last Name

Email Address

Confirm Email

This email address is already in use. If this is your email address, please click forgot my password.

Business Phone

Mobile Phone

Home Phone

Fax Number

Date of birth

Australian Health Practitioner Regulation Agency (AHPRA) Registration Number

Pharmacy / Organisation Name

Is this your first year of general registration (as a Pharmacist)?

State of Registration

Gender

Student Year

National Australian Pharmacy Student's Association (NAPSA) Number

Postal Address

Address Line 1

Address Line 2

Address Line 3

Suburb/Town

Country

State

The Postal Address you selected differs to the one you entered for your State of Registration. This is ok, we just wanted alert you in case it was a mistake.

Post Code

Address Type:

Secondary Address

Same as postal address