Pre-Conference Workshop Registration Form

Workshop Registration and Fee Payment

Fill your details below and complete the registration process.

Secure Registration

Please complete the form carefully with your personal, payment, and institute details. Workshop fee is fixed at INR 1,000 for all participants.

Personal Details Basic participant information

Payment Details Fee, mode and transaction info

Institute Details Organization and address

Personal Details

Title:

Prof. Dr.

Prof.

Dr.

Mr.

Mrs.

Ms.

Full Name: (As per govt. id/Passport/Aadhar Card)

Gender:

Male

Female

Other

E-Mail ID:

Mobile Phone:

Registration Category:

Applicable Fee: ₹ 1000 (Flat Workshop Fee)

Payment Details

Payment Mode:

Amount Paid:

Workshop Fee is INR 1,000 for all participants.

Transaction Date:

Payment Transaction ID:

Institute Details

Organization (Institute/Hospital /College Name):

Address:

City:

Country: