Consultants Registration Form

* Your 10 digits mobile number will considered as registration
number for the conference.

Name*

Designation*

Email Id*

Phone Number*

Medical Registration Number*

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Bank Details :

Name & Address : ISVIR KARNATAKA STATE BRANCH,
HDFC BANK LTD NO 99, AKSHATA TOWERS, K H ROAD,
BENGLURU - 560027, KARNATAKA
Account Number : 50100084770339
IFSC CODE : HDFC0001206
UPI ID : indiansocietyofvascu.62655864@hdfcbank
UPI Account Name : Indian Society of Vascular and Interventional Radiology Karn

Upload screenshot with Reference number of payment made*

Scan below QR Code to do payment

PLEASE SCAN THE QR CODE FROM ANOTHER DEVICE

UPI ID: indiansocietyofvascu.62655864@hdfcbank

Indian Society of Vascular and Interventional Radiology Karn