Registrations

1. Name *
2. Phone Number *
3. Alternate Contact Number
4. Email *
5. Select Your Designation? Faculty/ ConsultantsResidents/ TraineesStudentsNursing officers / StudentsOthers
6. Select Your Registration Early Bird Registration Faculty/ Consultant (IASO Members) Rs. 4000/-Early Bird Registration Faculty/ Consultant (Non-IASO Members) Rs. 5000/-Early Bird Registration Resident/ Trainee (IASO Members) Rs. 2000/-Early Bird Registration Resident/ Trainee (Non-IASO Members) Rs. 3000/-Regular Registration Faculty/ Consultant (IASO Members) Rs. 6000/-Regular Registration Faculty/ Consultant (Non-IASO Members) Rs. 7000/-Regular Registration Resident/ Trainee (IASO Members) Rs. 3000/-Regular RegistrationResident/ Trainee (Non-IASO Members) Rs. 4000/-Spot Registration Faculty/ Consultant (IASO Members) Rs. 8000/-Spot Registration Faculty/ Consultant (Non-IASO Members) Rs. 9000/-Spot Registration Resident/ Trainee (IASO Members) Rs. 5000/-Spot Registration Resident/ Trainee (Non-IASO Members) Rs. 6000/-
7. Address *
8. State *
9. Amount *
10. Transaction ID *

* Required