Deficiency of Vitamin D can cause dementia over time

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Deficiency of Vitamin D can cause dementia over time

Many Indians are unaware that they are Vitamin D deficient

New Delhi, 28 November 2017: While the benefits of Vitamin D in reducing the risk of heart disease, multiple sclerosis, and even rheumatoid arthritis have been documented in various studies, a new study has found that deficiency of this Vitamin D can increase the risk of developing dementia. As per the study, people severely deficient in vitamin D were 122% more likely to develop dementia. Despite being a country that receives ample sunlight, about 65% to 70% Indians are deficient in this most essential vitamin.

Vitamin D is not a simple vitamin and impacts virtually every cell in the body. It is synthesized in the skin on exposure to sunshine and is needed to absorb calcium and for bone health. Low vitamin D levels are widely known to harm bones, leading them to become thin, brittle, soft or misshapen. However, it is equally important for the heart, brain, and immune function.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “Vitamin D deficiency is linked with metabolic syndrome, heart diseases, and also with fertility. Research now has indicated a possible link to dementia as well. In India, the sun is worshipped as part of various festivals. The month of Magha, Vaishakha, and Kartik are considered as months for Shahi Snans where one is supposed to worship sun early in the morning and eat calcium rich food whether it is Urad Ki Daal or sesame seeds. The Chhat pooja which takes place immediately after Diwali is also linked to sun worship. The Marghshirsha month immediately after the month of Kartik also involves worshipping sun. Karkitpurnima and Vaishakhpurnima are especially known for sun worshiping. The current vitamin D mantra is that 40 days in a year for at least 40 minutes, one should expose 40% of the body to the sunlight either after sunrise or just before sunset.”

Vitamin D2 ergocalciferol is found in food items and our body makes Vitamin D3 cholecalciferol in the presence of sunlight. While both are extremely important, if D2 can be obtained from food, even little exposure to sun can help the body produce D3.

Adding further, Dr Aggarwal, said, “There are several reasons for deficiency of vitamin D. Lack of food fortification policies and more commonly our sociocultural practices, ‘sun-fleeing’ behavior, are major factors contributing to deficiency of this ‘sunshine vitamin’ in India which has abundant sunshine. Many people are unaware that they are vitamin D deficient.”

The following foods are good sources of Vitamin D.

Cod liver oil This oil comes from the liver of the cod fish and is considered extremely healthy. It helps ease joint pains and can be taken in capsule form or oil form.

Mushrooms If you love mushrooms, you are covered. Dried shitake mushrooms are a brilliant source of Vitamin D3 as well as Vitamin B. It is low in calorie and can be consumed daily.

Salmon Salmon is another good source of D3, Omega 3 and protein.

Sunflowers seeds This seed not only have Vitamin D3 but also comes with monounsaturated fats and protein.

Straight from the Heart: International IMA Activities Report 2017

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The Indian Medical Association IMA actively participates in World Medical Association WMA Confederation of Medical Associations in Asia and Oceania CMAAO Commonwealth Medical Association CMA and World Organization of Family Doctors WONCA meetings. Internationally WMA deals with all policies related to health education and regulations related to all the countries in a broad base. Policies with regard to the above issues in Asia and Oceania regions are broadly dealt by CMAAO and that in Commonwealth countries are dealt with by CMA. Of late many have criticized why IMA should participate in such meetings. Here is a brief note International interactions play a major role in deciding most National or International policies. World Medical Association WMA with the help of 112 National Medical Associations periodically develops concurrence statements concurrence declarations and resolutions on subjects of common interest. Such Statements Declarations and Resolutions are revised based on the current day requirements. There are two types of Revisions Minor revision which can be made any time and major revision which can be made after 10 years of a Declaration Statement . All member countries NMAs can raise their national issues even including work conditions of their Resident Doctors like their duty hours etc. through the International bodies. When these International bodies raise an issue even if it relates to individual countries or segments all member countries follow up such matters with the relevant related authorities in those country ies Segment s creating a huge impact on the early resolution of the issue. IMA led two major revisions polices on behalf of WMA both of which were passed in the last WMA General Assembly held in October 2017 at Chicago. o WMA STATEMENT ON HIV AIDS AND THE MEDICAL PROFESSION Adopted by the 57th WMA General Assembly Pilanesberg South Africa October 2006 and amended by the 68th WMA General Assembly Chicago United States October 2017 o WMA RESOLUTION ON TUBERCULOSIS Adopted by the 57th WMA General Assembly Pilanesberg South Africa October 2006 and revised by the68th WMA General Assembly Chicago United States October 2017 IMA is leading the revisions to third WMA policy on assisted reproductive technologies which is likely to get passed in 2018 WMA is in the process of revising the under mentioned policy in their ensuing meeting The following Declaration of Geneva now called The Physicians Pledge has been amended by WMA. Dr KK Aggarwal and Dr A Marthanda Pillai were members of the Working Group on behalf of IMA. As a member of the medical profession I SOLEMNLY PLEDGE to dedicate my life to the service of humanity THE HEALTH AND WELL BEING OF MY PATIENT will be my first consideration I WILL RESPECT the autonomy and dignity of my patient I WILL MAINTAIN the utmost respect for human life I WILL NOT PERMIT considerations of age disease or disability creed ethnic origin gender nationality political affiliation race sexual orientation social standing or any other factor to intervene between my duty and my patient I WILL RESPECT the secrets that are confided in me even after the patient has died I WILL PRACTISE my profession with conscience and dignity and in accordance with good medical practice I WILL FOSTER the honour and noble traditions of the medical profession I WILL GIVE to my teachers colleagues and students the respect and gratitude that is their due I WILL SHARE my medical knowledge for the benefit of the patient and the advancement of healthcare I WILL ATTEND TO my own health well being and abilities in order to provide care of the highest standard I WILL NOT USE my medical knowledge to violate human rights and civil liberties even under threat I MAKE THESE PROMISES solemnly freely and upon my honor Adopted by the 2nd General Assembly of the World Medical Association Geneva Switzerland September 1948 and amended by the 22nd World Medical Assembly Sydney Australia August 1968 and the 35th World Medical Assembly Venice Italy October 1983 and the 46th WMA General Assembly Stockholm Sweden September 1994 and editorially revised by the 170th WMA Council Session Divonne les Bains France May 2005 and the 173rd WMA Council Session Divonne les Bains France May 2006 and amended by the 68th WMA General Assembly Chicago United States October 2017 IMA also organized attended various international conferences as follows o Annual Scientific Meeting of Chinese Medical Association Nanjing China 14 15 January 2016 o International Summit on Air Pollution Health Advisories New Delhi March 10 2017 o 12th World Conference on Bioethics Medical Ethics Health Law Cyprus March 19 24 2017 o 206th World Medical Association WMA Council Meeting Zambia April 15 22 2017 o International Congress of Indian College of Interventional Cardiology Dubai May 4 7 2017 o 10th Geneva Conference on Person Centered Medicine Geneva May 7 10 2017 o Annual Meeting of Swedish Medical Association Sweden May 29 31 2017 o Annual Meeting of the American Medical Association Chicago June 10 14 2017 o BMA Annual Representative Meeting Bournemouth June 25 29 2017 o 32nd CMAAO General Assembly Tokyo September 13 15 2017 o WMA General Assembly Chicago October 11 14 2017 o European End of Life Issues Vatican November 2017 IMA now has direct one to one association and communication with other Medical Associations of the world. IMA has entered into a Memorandum of Understanding for Developing Strategic Cooperation Partnership with the Chinese Medical Association International collaborations o BMA Chair always attends the NATCON of IMA o Presidents of all National Medical Associations are invited in NATCON. o IMA is affiliated to BMA o Nepal Medical Association is affiliated to IMA. o IMA donated drugs worth Rs. 45 Lakh to Nepal Medical Association during the flood disaster in 2015. o Dr A Marthanda Pillai Past National President and Dr KK Aggarwal National President IMA addressed a press conference in Nepal during their visit to Nepal during flood disaster in 2015. o Dr Ketan Desai Past National President IMA served the highest post of WMA as its President during the year 2016 17. o Dr V C Pillai Past National President IMA served as President CMAAO during the year 1992 93. o Dr Vinay Aggarwal Past National President IMA served as President CMAAO during the year 2013. o Dr KK Aggarwal Hony Secretary General IMA served as Vice President CMAAO during the year 2015 16 o Dr KK Aggarwal National President IMA is serving as 1st Vice President CMAAO during the year 2016 17 o Dr KK Aggarwal National President IMA will take over as President Elect CMAAO for the years 2018 19 o Dr. S Arulrhaj Past National President served as President CMA o Dr K Vijaya Kumar Past National President served as Vice President CMA o Dr Ajay Kumar Past National President IMA is serving as Council Member WMA o Many Past National Presidents of IMA Dr Vinay Aggarwal Dr Ajay Kumar Dr A Marthanda Pillai Dr KK Aggarwal National President IMA and Dr RN Tandon Hony. Secretary General IMA have served have been serving on various Committees of WMA CMAAO o An international conference on Person Centered Medicine will be held in November 2018 at New Delhi o IMA will be hosting 2019 CMAAO meeting in September 2019 o WMA raised and supported the Dilli Chalo movement of IMA IMA is an integral part of global medical associations and should continue to lead the world in the field of medicine.

Straight from the Heart: Legal Success Stories

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Since I took over the reins of Indian Medical Association IMA we have done our level best to make IMA work in the interest of not only the medical professionals but also the medical profession and the rights of the public. Following are a few of the success stories. PIL IMA part of CPCC Committee on Pollution in Delhi IMA filed a Public Interest Litigation titled Indian Medical Association versus Union of India Others W.P. Civil No. 895 2016 before the Hon ble Supreme Court of India thereby praying the Hon ble Apex Court to issue directions to the concerned authorities for taking immediate actions against the increasing levels of pollution and for constitution a Monitoring committee for monitoring the same. In the said case Mr. Gopal Subhramanian Senior Advocate and Team Legal IMA appeared on behalf of IMA. After hearing the arguments the Hon ble Apex Court had asked the Central Pollution Control Committee to constitute a committee for taking immediate steps for reducing the pollution levels. Accordingly the Central Pollution Control Committee has constituted a committee and has also made IMA a party of the said committee. Legal Notices Indoco Remedies ceased from using IMA Recommends Legal notice dated 02.09.2016 was sent to Indoco Remedies for using the words IMA recommends on its product without the permission of IMA. In response to said notice dated 02.09.2016 the Indoco Remedies has sent reply dated 14.10.2016 wherein they have accepted that they shall not use the words IMA Recommends in the advertisement or otherwise. M s. Gufic Biosciences Ltd. Ceased from using IMA name and logo Legal notice dated was sent to M s. Gufic Biosciences Ltd. for using the name and logo of IMA on its product without the permission of IMA. In response to said notice dated M s. Gufic Biosciences Ltd. has stopped using the name and logo of IMA on its products and advertisements. M s. Me n Moms Private Limited ceased from using IMA recommends Legal notice dated 15.7.2015 was issued and sent against M s Me N Moms Private Limited Mumbai for unauthorized and illegal use of the words recommended by IMA Indian Medical Academy . The said company was using the said words expression in their publicity material and advertisements. The notice was duly served upon the company and their reply came on 24.7.2015 followed by detailed reply dated 7.8.2015. The company agreed to withdraw and stop using the said words expression with immediate effect. Accordingly the matter stood resolved. Trademark Trademark of IMA name and IMA Logo The IMA Hq. has received the certificate of Trade mark of IMA name and logo which are Copyright of IMA Name Logo and Dr Emblem has been applied by IMA. Trademark of Dr Emblem Applied Income Tax Income Tax not applicable The income Tax office had filed an appeal being Appeal No. 4 2015 16 263 against the order u s 143 3 passed by Dy. CIT Exemption Circle 1 1 Delhi making certain additions against IMA. The said appeal has been dismissed vide Order dt. 30.05.2016 wherein it has been held that the IMA is not involved in any trade commerce business and is totally involved in charitable activities falling within the definition of charitable purpose under section 2 15 under the head medical. As the Income Tax Act 1961 allows exemption of tax in the case of assessee who are involved in charitable and religious activities so IMA is allowed exemption of income tax. Service Tax Service Tax not applicable on IMA IMA had filed an appeal being Appeal No. ST 52555 2014 ST DB against the Service tax being charged on IMA under the category of club or association services before the Customs Excise and Service Tax Appellate Tribunal. In the said Appeal stay has been granted in favour of IMA against the Service Tax to be paid by IMA vide Order dated 19.04.2016. IMA Elections Fair and unanimous IMA elections There was fair and unanimous elections of IMA HQs for the years 2016 2017 2017 2018. However one Writ Petition No. W.P. C 7541 2016 was filed along with CM APPL. 31044 2016 and CM APPL. 31045 2016 by Dr Harish Gupta Ors namely. Dr. Hansraj Satija Dr. Kamal Kishore Parwal and Dr. Vinod K. Arora against. Indian Medical Association Anr namely Election Commission IMA HQs. requesting the Hon ble High Court of Delhi to appoint Court Observer for the rest of the electioneering process of IMA HQs. After hearing the arguments on behalf of all the parties the Hon ble High Court of Delhi was pleased to dismiss the said Writ Petition vide order dated 01.09.2016 and thus no Court Observer was appointed as prayed for. IMA Mediation Conciliation Grievances Redressal Cell IMA MCGRC has handled over 50 cases. Independent Ethic Committee in operation IMA has constituted Independent Ethics Committee to ensure that all bi medical research in human subjects conducted in IMA and its affiliated Wings are in accordance with the ethical guidelines for bio medical research on human subjects as prescribed by the Indian Council of Medical Research. IMA can endorse Endorsement can be done provided money raised is used for the purpose for which IMA was established. This has been held in favour of IMA vide ITAT Order for the A Y 2009 2010 in the case titled as ADIT E vs IMA . As per the said Order as long as the dominant purpose of any activity of society is to mobilize funds and resources for the charitable purposes as mentioned in its aims and objects and these raised funds are ploughed back and used by the society only towards its aims and objects the same is within the law and within the proviso of section 2 15 . And are allowed. Raising funds by sponsorships endorsements registration fee entry to events ate are allowed to IMA and its branches as long as the proceeds and the excess of income over the expenditure is used only for the objects for which IMA was formed. This order can be cited in the following A Ys cases which are pending before different courts at different stage. JIMA back to IMA The Journal of IMA has come back to IMA for publication. No stay on pictorial warning on tobacco packets Against the 2014 Rules for 85 pictorial warning on the tobacco packets one matter titled as Karnataka Beedi Industry versus UOI was filed before the Hon ble Supreme Court of India. The said case was listed for hearing on 04.05.2016. In the said case an impleadment application has been filed on behalf of IMA thereby supporting the said Rules that there should be pictorial warning on the tobacco packets. The Hon ble Supreme Court of India has been pleased to transfer all the pending petitions relating to 2014 Rules before the Hon ble Karnataka High Court. Also the Hon ble Supreme Court has not granted any stay on the 2014 Rules and thus 85 pictorial warning on tobacco packets is in force. NCERT withdraws defamatory material from its book One writ petition being WP C No.8706 2015 titled Indian Medical Association V s UOI Another was filed before Hon ble Delhi High Court New Delhi on behalf of IMA for orders and directions against NCERT New Delhi for removal and recall of the defamatory material in the text book Social Political Life II in the study material prescribed to students of class VII. Under the directions of the court a complaint committee was set up to look into the grievances mentioned in the writ petition. The said committee has now made various changes modifications in the book which have been mentioned in the report given before the court. Accordingly the writ petition was disposed of as NCERT had made relevant changes in its book as prayed for. Labs can operate in residential areas The writ petition being WP C No.6568 2015 titled Paardarshita Public Welfare Foundation NGO V s Commissioner South Delhi Municipal Corporation Others was filed before Hon ble Delhi High Court New Delhi in respect of various nursing homes path labs diagnostic centres etc. working in National Capital Territory of Delhi. In the said writ petition the petitioner had sought directions against the municipal authorities to carryout inspection of the various path labs diagnostic centres etc. in the city and to close them if they are found causing pollution and traffic congestions. The said writ petition was filed on the basis of judgment given by Hon ble Supreme Court of India in civil appeal dated 20.3.2015 in civil appeal NO.8284 2013 titled Anirudh Kumar V s MCD Others . Team legal IMA had appeared in the above matter on 15.7.2015 before the Hon ble Court and made the necessary submissions and arguments on behalf of IMA against the maintainability of the said writ petition on various grounds. After hearing the submissions the matter was reserved by the court for passing final judgment and the same was pronounced on 19.8.2015 whereby the writ petition of the petitioner was dismissed by the Hon ble Delhi High Court New Delhi. This was a very big relief to the doctors and members of IMA since any orders directions if issued by the court may have resulted in lot of complications and harassment. PIL against IMA dismissed The writ petition being WP C No. 9597 2015 titled as People for Better Treatment versus MCI Others was filed before Hon ble High Court of Delhi. In the said case IMA was also made party being respondent no. 2. The said writ petition filed by the Petitioner Namely People for Better Treatment an NGO which is been operated by Dr. Kunal Shah. Team Legal IMA had appeared and argued on the maintainability of the said case on behalf of IMA. After hearing the arguments vide order and judgment dated 03.03.2016 the Hon ble High Court of Delhi has been pleased to dismiss the said PIL filed against IMA being not maintainable. ESI case won An appeal was filed against the order of the ESI being Ministry of Labor Employment versus IMA LPA 402 2015 C.M. No. 11195 2015 before the Hon ble Division Bench of Delhi High Court. In the said case Mr. Nitesh Jain Advocate appeared on behalf of IMA ad after hearing the arguments vide order and judgment dated 07.01.2016 the Hon ble Division Bench of Delhi High Court has held that as rightly held by the learned Single Judge the intention of the Parliament in enacting the provision that there shall be consultation with recognized organization of medical practitioners is to have inputs from the organizations about the expertise of the person to be appointed. Such consultation is apparently absent in the present case since the proposal to nominate Dr. Purshottam Lal was not even conveyed to IMA. Therefore we entirely agree with the view of the learned Single Judge that the absence of consultation with IMA the recognized organization of medical practitioners which is mandatory under the Act has vitiated the nomination of the Respondent No. 2. Section 2 p of PCPNDT Act held bad Undertaking and declaration by non pelvic medical practitioner sufficient for PCPNDT Act. IMA had filed writ petition being WP C No. 2721 2014 titled as India Medical Association versus Union of India Others before the Hon ble High Court of Delhi against the provisions of PCPNDT Act and Rules. Mr. Jayant Bhushan Senior Advocate and Mr. Nitesh Jain Advocate appeared and argued in the said case on behalf of IMA. After hearing the arguments the Hon ble High Court was pleased to reserve the order for pronouncement. Thereafter vide order and judgment dated 17.02.2016 the Hon ble High Court of Delhi was pleased to allow the writ petition filed by the IMA and has held that Section 2 p of the PCPNDT Act defining a Sonologist or Imaging Specialist is bad to the extent it includes persons possessing a postgraduate qualification in ultrasonography or imaging techniques. Also it has been held that if the person seeking registration a makes a declaration in the form to be prescribed by the Central Supervisory Board to the effect that the said machine or equipment is not intended for conducting pre natal diagnostic procedures b gives an undertaking to not use or allow the use of the same for prenatal diagnostic procedures and c has a silent observer or any other equipment installed on the ultrasound machines as may be prescribed by the Central Supervisory Board capable of storing images of each sonography tests done therewith such person would be exempt from complying with the provisions of the Act and the Rules with respect to Genetic Clinics Genetic Laboratory or Genetic Counseling Centre. No stay granted by Hon ble Supreme Court against PCPNDT order dated 17.02.2016. Against the order and judgment dated 17.02.2016 passed by the Hon ble High Court of Delhi two petitions titled as the Indian Radiological and Imaging Association versus UOI Anr. SLP C 11046 2016 and Union of India versus Indian Radiological Imaging Association Others SLP C No. 16657 2016 have been filed before the Hon ble Supreme Court of India. Mr. Jayant Bhushan Senior Advocate Mr. Rahul Gupta Mr. Gagan Gupta Mr Shekhar Gupta and Ms. Ira Gupta Advocates appeared and argued in the said cases on behalf of IMA Hq. The UOI had filed an application for the stay of high court judgment. However on 07.11.2016 after hearing the arguments the Hon ble Supreme Court has not passed any orders of stay and the UOI has been directed to file an application for transfer of similar cases pending before various High Courts in the country. Thus there is no stay on the judgment dated 17.02.2016 passed by the Hon ble High Court of Delhi. IMA supports students qualifying courses conducted by IMA IMA had conducted some paramedical courses like DMLT which were duly recognized by DGHS. However after qualifying the said courses some students were denied employment in government department. Against the said refusal for the employment some students had filed a writ petition before Hon ble High Court of Rajasthan being by the Hon ble High Court of Rajasthan Jaipur Bench in the matter Civil Writ Petition bearing No. 19233 2015 titled as Gopesh Sharma versus State of Rajasthan Other. In the said case IMA had supported all the students who have duly completed the courses conducted by IMA. After hearing the arguments the Hon ble High Court of Rajasthan had vide judgment dated 25.02.2016 asked the petitioners to file an appeal before the Rajasthan Para Medical Council. Wins crosspathy case Writ petition under Article 226 of the Constitution of India was filed as a Public Interest Litigation PIL being WP C 7865 2010 titled as Delhi Medical Association versus Principal Secretary Health Others before Hon ble High Court of Delhi for seeking directions for ensuring that no practitioner of Indian System of Medicine or of Homoeopathic Medicine practices in Allopathic System of Medicine including by prescribing Allopathic Medicines. In the said case IMA had supported Delhi Medical Association. After hearing detailed arguments vide order and judgment dated 08.04.2016 the Hon ble Division Bench of Delhi High Court has held that no practitioner of Indian System of Medicine or holding a qualification as listed in the Schedule to the Indian Medicine Central Council Act 1970 even if it be of in integrated medicine as defined in Section 2 h of the Delhi Bharatiya Chikitsa Parishad Act is entitled to practice modern scientific system of medicine as defined in the Indian Medical Council Act 1956 read with Indian Medical Degrees Act 1916 and as has come to be known as Allopathic system of medicine. No stay granted by Hon ble Supreme Court against crosspathy judgment dated 08.04.2016 Against the judgment dated 08.04.2016 two petitions have been before Hon ble Supreme Court of India titled as All India Indian Medicine Graduates Association versus Delhi Medical Association Others SLP Civil No. 20144 20145 2016 and National Integrated Medical Association versus Delhi Medical Association Others SLP C No. 14297 2016 . Team legal IMA had appeared in the said cases on behalf of Delhi Medical Association and had accepted notice of the said cases and made their submissions. Even though the petitioners in the said cases were praying the Hon ble Apex Court to stay the operation of the order and judgment dated 08.04.2016 however the Hon ble Supreme Court has not passed any stay order in the same. Hon ble Supreme Court has Suo moto made IMA a party The presence and working of IMA has been duly recognised by the Hon ble Supreme Court. Accordingly the Hon ble Supreme Court has Suo moto appointed IMA as amicus curiae in the matter titled as State of Andhra Pradesh versus Ganjikuntla Sridhar Others SLP Civil 10347 10359 2017 . Hon ble High Court of Delhi has Suo moto made IMA a party The Hon ble Chief Justice of Delhi High Court has Suo moto made the Indian Medical Association as a party in the matter titled as Court on its Own Motion versus UOI Other WP C 3903 2017 for addressing the issue of violence against the doctors and healthcare. Team legal IMA have appeared on behalf of IMA. A detailed affidavit of various incidents of assaults on doctors the reasons of such assaults and also solution to curb the assault and violence against the doctors has been filed on behalf of IMA. Su Moto Impleadment by IMA IMA supports FDC ban The matter titled as Pfizer Limited versus UOI relating to FDC has been allowed vide order dated 01.12.2016. IMA had filed impleadment application in the said case supporting the Central Government s decision of ban on FDC drugs. Team legal IMA had appeared on behalf of IMA and made submissions in support of the ban of FDC drugs. However vide order dated 01.12.2016 the Hon ble High Court of Delhi has disallowed the ban on FDCs by Central Government thereby holding that All 344 Notifications dated 10th March 2016 purportedly in exercise of power under section 26A of the Drugs Act are found to have been issued without following the procedure statutorily prescribed to be followed prior to issuance thereof and resultantly it is held that the Notifications are not based on satisfaction of the Central Government prescribed to be on the advice of an in consultation with the DTAB and DCC. Team Legal IMA Dr KK Aggarwal Dr R N Tandon Rahul Gupta Shekhar Gupta Ira Gupta Aanchal Dhingra Dr Sunil Satrawal Dr KK Aggarwal National President IMA Team Legal IMA

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