PG Registration Form

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

Name*

Designation*

Email Id*

Phone Number*

Upload valid institution ID Card


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

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Scan below QR Code to do payment