WORKSHOP REGISTRATIONPlease enable JavaScript in your browser to complete this form.FIRST NAME *LAST NAME *PREFERED NAME ON CERTIFICATE *POSITION *INSTITUTE / MEDICAL COLLEGE *ADDRESSPhoneEMAIL *QUALIFICATIONS *PMDC REGISTRATION / IRSP MEMBERSHIP NUMBER.REGISTRATION PASS TYPE *CONSULTANTRESIDENT/ TECH / STUDENTSPEAKERMODERATOR / CHAIRSELECT WORKSHOPSWORKSHOP 1WORKSHOP 2WORKSHOP 3WORKSHOP 4WORKSHOP 5WORKSHOP 6WORKSHOP 7WORKSHOP 8WORKSHOP 9WORKSHOP 10WORKSHOP 11WORKSHOP 12WORKSHOP 13WORKSHOP 14WORKSHOP 15PAYMENT RECEIPT * Click or drag a file to this area to upload. Registration Fee:• Prior Registration is mandatory, each workshop requires a separate registration. • Fee should be deposited in the given account and the snapshot uploaded with the registration form. • Payments 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, KarachiSubmitWorkshop FeesEarly Bird Registration Rs. 2,000Regular & Onsite Rate Rs. 3,000Registration Open
