Data Processing
.
.
.
REGISTRATION
View Brochure
Check for Pending payment
Registration Amount :
(
₹
)
0
Are you IRIA Member *
Yes
No
IRIA Member No. *
State Medical Council Registartion no. *
Category: Please Select*
PLEASE SELECT CATEGORY
Consultant
PG Resident
Registration type*
PLEASE SELECT
Conference + Workshop
Conference Only
Workshop Only
Title *
Prof.
Dr.
Mr.
Ms.
First Name *
Last Name *
Date Of Birth *
Designation *
Institute/Organization *
Address
City *
State *
Country *
PIN Code
Age
Mobile *
Email *
Coupon Code *
No. Of Accompanying Person
None
1
2
3
Accompany Person 1 Name *
Age *
Gender *
Select
Male
Female
Accompany Person 2 Name *
Age *
Gender *
Select
Male
Female
Accompany Person 3 Name *
Age *
Gender *
Select
Male
Female
Accompany Person 4 Name
Age
Gender
Select
Male
Female
Certificate Upload
Please upload the certificate from the HOD/Unit (If you are a PG student)
Registration Amount :
(
₹
)
0
FOR ENQUIRY : punjabiriacme2024@gmail.com
About Us
Privacy Policy
Refund Policy
×
×
