Registration Form
Select Event:
Title:
Name:
Your Description: Specialist
Family Physician
Hospital Doctor
RMO
Trainee
Management / Administration
Institution:
Speciality:
Department:
Address (line 1):
  (line 2):
Country:
City:
Phone:
Mobile no:
Fax:
Email:

Conference Registration Fee:
- for consultant Rs. 1000/-
- for student Rs. 750/-

Mode of Payment: Demand Draft / Pay-order in favour of “NIBD Meeting & Research”