Invited Speakers, Chairpersons, Moderators, Armed Forces & IMA Member Registration

(Not for Free Papers)


Registration Type *
First Name *
Last Name *
Gender *
Date of Birth *
TSI Membership No
Profile
IMA Membership Number
Institution / Hospital *
Qualification and Affiliation
Department
Address *
City *
State *
Country *
Mobile *
Alternate Phone
Email *
Pin code / Zip code *
Medical Council Registration Number
(For Practicing Doctors)
 
* Type of Meeting – Webinar Mode – Main conference – 2.5 hours Morning and 2.5 hours Afternoon/ Evening
*Certificate : Participation Certificate will be available at the end of the conference