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Registration
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Register as
Delegate
PG Student
Category
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Delegate Without Accommodation
PG (Abstract Submission)
PG Student Without Accommodation
Delegate : Single Occupancy - 1 Night Accommodation
Delegate : Single Occupancy - 2 Night Accommodation
Delegate : Double Occupancy - 1 Night Accommodation
Delegate : Double Occupancy - 2 Night Accommodation
Corporate Registration With Accommodation and Travel : Double Occupancy - 2 Night Accommodation
Corporate Registration (by Pharma)
Title
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Dr.
Prof.
Mr.
Miss.
Mrs.
Name
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Last Name
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Qualification
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MCI Number
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Gender
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Male
Female
State
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Select State
JAMMU AND KASHMIR
HIMACHAL PRADESH
PUNJAB
CHANDIGARH
UTTARAKHAND
HARYANA
NCT OF DELHI
RAJASTHAN
UTTAR PRADESH
BIHAR
SIKKIM
ARUNACHAL PRADESH
NAGALAND
MANIPUR
MIZORAM
TRIPURA
MEGHALAYA
ASSAM
WEST BENGAL
JHARKHAND
ODISHA
CHHATTISGARH
MADHYA PRADESH
GUJARAT
DAMAN AND DIU
DADRA & NAGAR HAVELI
MAHARASHTRA
ANDHRA PRADESH
KARNATAKA
GOA
LAKSHADWEEP
KERALA
TAMIL NADU
PUDUCHERRY
ANDAMAN & NICOBAR ISLANDS
TELANGANA
Other
Out of India
City
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Address
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Country
Pincode
Mobile
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Email address
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Accompanying Person Details :
Accompanying 1
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Accompanying 2
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Accompanying 3
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Accompanying 4
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Banquet :
No
Yes
Workshop :
No WorkShop
TUBERCULOSIS
BASIC INTERVENTIONAL PULMONOLOGY
SLEEP AND NIV
MECHANICAL VENTILATION
ILD AND RADIOLOGY
ADVANCED INTERVENTIONAL PULMONOLOGY
PULMONARY FUNCTION TEST
PULMONARY MYCOSIS
MEDICAL PLEUROSCOPY
ALLERGY AND IMMUNOLOGY
Total Amount for Registration:
Category
Amount
Registration
0
Accompanying Persons
0
Banquet
0
Workshop
0
Total (
Rs.
)
0
Account Detail:
Account Name:
INDIAN DIABETES AND CARDIO METABOLIC DISEASES ASSOCIATION
Account No:
431205000423
Bank Name:
ICICI BANK
IFSC Code:
ICIC0004312
Branch Name:
MAKARPURA BRANCH VADODARAr
Payment Mode
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UPI
NEFT / IMPS
Other
Payment Details / PG(Abstract Submission) Student ID
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