IRIA-KSC 2024

IRIA-KSC 2024 - REGISTRATION

Enter Full Name
(As required on certificate)

* Gender
*
Enter Email ID

* Enter Whatsapp number

* Enter Medical Institute / Hospital Name

* Designation *
Enter Medical Council State
*
Enter Medical Council Number

*

Enter Country *
Select State *
Select District *
Enter City *
Postal Address *
Enter Pincode *
Meal Preference
*

Choose the Category
Enter IRIA membership Number
(If Non Member Enter 0)

Accompanying Person *
Workshop Participation *
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