Basic Information

Upload your passport photograph
Format: JPG, JPEG, PNG Upload

---

Upload your Certificate
Format: JPG, JPEG, PNG, PDF Upload

Address

Qualification

Please mention your university and year from which you have passsed DM, Dnb or any other relevant degree

Training in Cardiac Electrophysiology/ Pacing

Please mention your experience in years and months for Cardiac Electrophysiology / Pacing

Present Appointment

Recommendations

Please enter details of two proposers from existing members of IHRS and also send a request to respective member to confirm your recommendation.