IRA

NEW MEMBER REGISTRATION

Please go through the Eligibility Criteria and the required documents before you begin the application. Incomplete applications in any respect shall be rejected without any refund. If you have already have an account kindly Login here.

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) (300 x 300 pixels recommended) *

Address for Communication

Address *

City *

District *

State *

Pincode *

Country of Residence *

Permanent Address

Same As Above

Address *

City *

District *

State *

Pincode *

Country of Residence *

Proposer Details (IRA Life Member for minimum of 5 years who is willing to endorse and propose your application)

IRA Membership No. *

Title

First Name

Last Name

IRA Member Since(Year)

Proposer email

Kindly enter the correct Proposer Membership Number (e.g. LMXX/OMXX/OSMXX).

Professional Qualifications

Note: Please attach scanned copies.

Qualification *	Year *	University *	Attachment (Max 2 MB size) *

Appointments held

Designation *	College/Hospital *	Duration *	Job Description *	Action

Rheumatology Experience

Note: Applicants are required to provide proof of at least two years of rheumatology experience. All supporting documents evidencing a cumulative experience of two years or more must be submitted. Failure to comply will result in the application being rejected without any refund.

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

Publications/Awards in Rheumatology & Clinical Immunology

Upload Rheumatology CME/Conference Certificates

Are you DM/DNB Rheumatology qualified or trainee: *

Yes

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

Are you applying for ? *

Life Membership (LM)

Overseas Membership (OSM)

Tell us about yourself

Write about yourself and your experience in rheumatology *

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

Online

Hard Copy

Create Your Login Password

Disclaimer: Your email address serves as your login ID Note: Please enter a password with at least 7 characters, including at least one uppercase letter and one special character.

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