Please enable JavaScript in your browser to complete this form.MEMBERSHIP TYPE *Life MemberFull MemberAssociate MemberCorresponding MemberClick here for details of each Membership Type.SIR AFFILIATE MEMBERSHIP CATEGORY (IRSP Full and Life Members Eligible) *SIR AFFILIATE MEMBERSHIP CATEGORYSIR affiliate membership only for 3 years (Rs. 39750)SIR affiliate membership with online JVIR (optional) also for 3 years (Rs 79500)NAME *FirstMiddleLastPOSITION *INSTITUITION *POSTAL ADDRESS *MOBILE NO. *OFFICE NO.RESIDENCE NO.EMAIL *WEBQUALIFICATION *PMDC REGISTRATION NO. *PAYMENT RECEIPT Click or drag a file to this area to upload. Upload now or submit the payment receipt copy to info@irsp.com.pkDrop Your Current CV Here Click or drag a file to this area to upload. Upload Your Current CV HereINFORMATION:• Life Member: 20,000 PKR • Full Member: 2,000 PKR per annum • Corresponding Member: 2,000 PKR per annum • Associate Member: 1,000 PKR per annumPayments may be done by Online / ATM / Bank Transfer: • IRSP Account Title: Interventional Radiology Society of Pakistan • Account No.: 5004-0081-001096-01-7 • IBAN No.: PK70BAHL5004008100109601 • Swift Code: BAHLPKKA • Bank: Al-Habib Islamic Banking Branch Memon Medical Institute, KarachiFor any queries contact: Name: Mr. Rahim Virani Number: 021-34862069 Email: rahim.virani@aku.eduSubmit
