Become A Member

Fill in the form to become a YO.DH member

First Name *

Last Name

Gender *

Year of Birth *

User ID *

Password *

Confirm Password *

Mobile Number *

Email Address *

Current Country of Residence *

Current State of Residence *

Current City of Residence *

Organization *

Designation *

When did you start working in the digital health space? *

How many years have you been working in the digital health space? *

What is your purpose of joining YO.DH? *

How did you hear about YO.DH? *

Ambassador Name *

Tell us what excites you about YO.DH and why do you want to become a YO.DHA? *

* I consent to the YO.DH Secretariat to collect, store, and use my personal information for all YO.DH relating activities.