Parent Registration – Angelman Foundation India

India's First ever foundation for Angelman Syndrome

Full name*

Your Angel's Name*

Gender

MaleFemale

Age of Diagnosis in years & months*

Current age in years & months*

Genotype

Any Other Relevant Information

Your Residential Address

City

Pincode

Username*

Password*

Confirm Password*

Phone Number

E-mail Address*

Only fill in if you are not human