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Online Registration

Any Queries Regarding Technical Assistance, Please Contact A1 Logics 0824 – 4252005 (9:00 AM – 6:00 PM Working Days)

Fees Details

# Category Upto 13th December
1 Delegate Rs. 500.00
2 Post Graduate Rs. 300.00

* Fields are mandatory
* Registration Type :


 

Amount (in Rs)  :  0.00

Title :

* Name :
 
Gender :

* Hospital/Organisation :
 
* Address :
 
* Country :

* State :

* City :

* Pin Code :
 
* Email Id :
Email Id will be the Username for Login

* Choose Your Password :
 
* Confirm Your Password :

* Mobile Number :


Second Mobile Number :


APIDK Membership No. :


* Medical Council No. :


* Medical Council Affiliation :



Payment Information


* Amount (in Rs) :
 

Mode of Payment :

Note : Extra 3 % will be added as online Payment processing charges.
Online Payment accepts Debit and Credit card of all the Nationalised Bank.
To Continue, Please click on the SUBMIT button. It will redirect you to the Online Payment Gateway.

Any other Comments / Request :