Would you like to become a member of DAISI®? 

DAISI® membership is open to doctors or medical students who have volunteered their services in the Solomon Islands. Associate-membership is open to non-medical volunteers.  

If you would like to become a member or associate-member, please complete the contact form below and indicate when and where and how long you have volunteered in the Solomon Islands.

Your Name (required)

Your Email (required)

Your Mobile

Your Postal Address

Select Country

Would you like to receive a DAISI® Polo Shirt (see image below)?

Polo Shirt Type

Polo Shirt Size

Select the number of polo shirts

Select Shirt colour

Would you like to receive a DAISI® Cap? (see image below)

Select the number of Caps

Select Cap colour

Terms & Conditions for Membership & DAISI® Constitution

Have you read and agree to abide by the above Terms & Conditions for membership and the DAISI® constitution?
 Yes No

Please describe your volunteer work in the Solomon Islands to date

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polo-shirt