Membership Subscription

Applying Form State


The provision of direct membership is only for those, who are in Defence/All India Central Govt. Service like Railways and or other similar organizations, liable for frequent All India transfer and or place where, there is no State/UT Chapter.

General Information


Attach two recent passport size photographs.
Note:Upload jpeg,jpg,png only and image size must be less than 5mb

Qualifications


Attach two recent passport size photographs.
Note:Upload pdf only and file size must be less than 5mb
For Life Members

Self attested copy of certificates of MBBS, PG Degree/Diploma in Radiology and copy of registration of State Medical Council is must.

For Provisional Life Members

Declaration from HoD of Radiology, Self attested copy of certificates of MBBS, and copy of registration of State Medical Council is must. Without these documents, the membership form will not be accepted.

Professional Information


Attach two recent passport size photographs.
Note:Upload pdf only and file size must be less than 5mb

Contact Information


Permanent Address


Hospital/Institution/Clinic Address


Proposed by (Member of IRIA)


Attach two recent passport size photographs.
Note:Upload pdf only and file size must be less than 5mb

Attach Proof (scanned copy of any of the following IDs: PAN Card, Driving Licence, Voter ID Card, Aadhar, Passport, ID Card issued by IRIA HQ)

Seconded by (Member of IRIA)


Attach two recent passport size photographs.
Note:Upload pdf only and file size must be less than 5mb

Attach Proof (scanned copy of any of the following IDs: PAN Card, Driving Licence, Voter ID Card, Aadhar, Passport, ID Card issued by IRIA HQ)


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