Registration

Delegate Type* Select Delegate Type!

Category* Select Category!

Registration For* Select Registration For!

Name* (Name as required on certificate) Enter Your Name!

Email ID* Enter Your Email ID!

Mobile Number* (whatsApp No.) Enter Mobile Number!

Gender* Select Gender!

Name of the Organisation/Institution/Hospital/Lab.* Enter Organisation/Institution Name!

Department Name

Designation

State Council Reg. No.* Enter State Council Reg. No!

Country*

State*

City*

Pin Code*

Address* Enter Your Address!

IOS Reg No* Enter IOS Reg No.

Registration Fee

Do you have a Attending Banquet?*

Yes No

Save & Proceed For Payment