Registration - Trendo 2018

Registration Trendo 2018

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Registration

Registration Closed

Registration form

* is Mandatory. Please Fill in Capital Letters Only.

Registration done by :

Delegate Others

Personal Details

Title :

Dr Prof Mr Mrs Ms

* Full Name :

*MCI Register No :

Address :

* City :

State :

Pincode :

Phone No :

* Mobile No :

* Email :

Institution / Company :

Category

Upto 31^stMay 2018

After 1^stJune 2018

Spot Registration

Delegate :

Rs.4000

Rs.5000

Rs.8000

Spouse / Assoc Delegate / ESI Member :

Rs.3000

Rs.4000

Rs.6000

International Delegate :

Rs.150

Rs.200

Rs.400

Post Graduate :

Rs.2500

Rs.3000

Rs.4000

Thanks for your interest,Once Registration is complete we will get in touch with you.

If payment is done now please send the acknowledge printout along with Cheque/DD to the following address.

Dr. A.Premkumar - Organizing Secretary
Vascular and Hormone Clinic
91/190 F, Gandhi Road, Hasthampatty,Salem - 636 007,Tamil Nadu.
Phone: 0427 - 4043101,Mobile: 8870355306.