REGISTRATION DETAILS
Select Category*
Delegate - Rs. 2000/-
Resident Doctor - Rs. 1000/- (Certificate upload mandatory)
Resident Doctor Certificate*
Accepted formats: PDF, JPG, JPEG, PNG (max 5MB).
Pre Conference
No Pre Conference
Cataract - Rs. 500/-
Glaucoma - Rs. 500/-
Retina - Rs. 500/-
Select a pre-conference topic to add Rs. 500/- to the registration.
Name of the Delegate*
Email*
Phone No*
Address*
City*
Zipcode*
State
Select State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
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Punjab
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Sikkim
Tamil Nadu
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Uttarakhand
West Bengal
Other
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