IRA

MEMBER REGISTRATION

Create your IRA account. It will take less than 5 minues. If you have already have an account kindly Login.

Title *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Code *

Mobile Phone *

Code

Alternate Phone

Email Address *

Profile Photo (Max 2 MB size)*

Address for Communication

Address *

City *

District *

State *

Pincode *

Country of Residence *

Permanent Address

As Above

Address

City *

District *

State *

Pincode *

Country of Residence *

Consent from the proposer regarding suitability of the candidate for IRA membership

Title *

First Name *

Last Name *

IRA Membership No. *

IRA Member Since(Year) *

Professional Qualifications

Note: Please attach scanned copies.

Qualification	Year	University	Attachment (Max 2 MB size)	Action

Appointments held

Designation	College/Hospital	Duration	Job Description	Action

Rheumatology Experience

Note: Proof of two years rheumatology experience must be attached.

Designation	College/Hospital	Job Description	Duration	Attachment (Max 2 MB size)	Action

Publications/Awards in Rheumatology & Clinical Immunology

Upload Rheumatology CME/Conference Certificates

Note: Not Applicable (For DM/DNB trainee/qualified).

Attachment (Max 2 MB size)
Attachment 1:	Attachment 2:

How would you like to receive the Indian Journal of Rheumatology?

Online

Hardcopy

Attach Payment Receipt

Upload Option (Can upload PNG, JPEG, PDF) *

Create Your Login Password

Disclaimer: Your email address serves as your login ID

Password *

Re Enter Password *

I agree the Terms and Conditions

For any assistance/query related to registration please email us at admin@indianrheumatology.org