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Wednesday, July 09, 2008 08:28

REGISTRATION FORM

Step 1:	Create your User ID
	Your Ranbaxyfordoctors.com User ID consists of your username and password. This is the ID you will use to access the Ranbaxyfordoctors.com site. Once you submit this form successfully, a temporary password will be mailed to you.
*	Marks MANDATORY Fields

Enter a Username *

Each time you access Ranbaxyfordoctors
you will use this username

Please select a username carefully as it will be
fixed once you submit it

Keep your username simple and easily identifiable
as this will be your identity on this site

You may use a combination of alphabets (a-z),
numbers (0-9) and an underscore ( _ ).

Step 2:	Fill in your personal details
	This step has two sections: 1. Personal Details & Profiling: Certain fields here are mandatory and will help us customise the site to your needs. 2. College Mates Registration (Optional): You may fill in these details only if you wish to register for our medical alumni section.
*	Marks MANDATORY Fields

	Salutation *
	Email *
	Please enter a valid email address where you want your temporary password to be mailed.
	First Name *
	Middle Initial
	Last Name *
	Sex	Male Female
	Birthday *
	Country of Residence *
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	City of Residence *
	If you live in India, please select here:
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	Address
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	Telephone No.
	Areas of Interest *
	You may select a minimum of one and a maximum of three

	All News	Allergy
	Asthma	Cardiology
	Clinical Research	Critical Care
	Dentistry	Dermatology
	Endocrinology	Gastroenterology
	General	Genetics / Biotech
	HIV / AIDS	Infectious Diseases
	Lab Medicine	Nephrology
	Neurology	Oncology/Haematology
	Ophthalmology	Orthopaedics
	Otolaryngology	Paediatrics
	Psychiatry	Reproductive Health
	Respiratory Medicine	Surgery
	Urology	Women's Health
	Speciality *
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	College Mates Registration (Optional) - Fill in the following details only if you wish to register for College Mates, our unique medical alumni section.
	Maiden Name
	Graduation
	Institute
		Your institute not listed? Add it now!
	Year you Graduated
	Degree
	Nickname
	A name you were popularly known by in college
	Post Graduation
	Institute