Online Registration Form
Title
*
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Prof
Dr
Mr
Ms
Mrs
Name (as you would like on your certificate)
*
Email
*
Mobile
*
Food
*
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Veg
Non Veg
Designation
*
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FACULTY
PAST PRESIDENT
CONSULTANT - IRIA MEMBER
CONSULTANT - NON IRIA MEMBER
PG STUDENT - IRIA MEMBER
PG STUDENT - NON IRIA MEMBER
INTERNATIONAL DELEGATE
Institute / Place of work
*
State Medical council registration number
*
State of medical registration
*
IRIA Member?
*
Select One
Yes
No
IRIA Membership Number
*
Registration Category
DISCOUNTED REG (upto 31st April)
Amount
Category
INR 4000
FACULTY / PAST PRESIDENTS / EMERITUS MEMBERS
INR 7000
PROVISIONAL LIFE MEMBERS /RESIDENT IRIA MEMBERS
INR 8000
LIFE MEMBERS
INR 9000
NON MEMBERS RADIOLOGIST (INC. SAARC COUNTRIES/ NON IRIA PG STUDENTS)
USD 250
INTERNATIONAL DELEGATES
Inclusive 18% GST
PLEASE NOTE:
The complimentary delegate kit cannot be assured for registrations after 28th MAY 2026 / spot registrations.
The registration of delegates include includes delegate kit, admission to the scientific sessions, trade exhibition, inaugural function, workshop, lunches & inaugural dinner.
No delegate kit for the accompanying persons.
Children below 5 years of age are complimentary. Children above 5 years will have to be registered as accompanying person. Persons accompanying emeritus members shall pay as per the details mentioned above.
Accompanying Person Details
upto 31st April
Accompanying Person Fee
INR 9000
Number of Person(s)
*
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1
2
1. Name
Gender
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Male
Female
2. Name
Gender
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Male
Female
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