Group Registration Form
(* Please provide a valid email & mobile number for future correspondence via SMS / email)
Personal Information
Institute
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Title
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Select
Prof.
Dr.
Mr.
Ms.
Mrs.
First Name
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Last Name
Email
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Mobile
*
Country
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State
*
City
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Registration Options
Category
Select Category
Select Category
Clinician/Embryologist/Scientist - ₹ 13000
PG STUDENT/SR - ₹ 6000
HOD Certificate (for PGs)
Group Member Details (Up to 5)
Member 1
*
Email
*
Mobile
*
Pre-Congress Course
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Select
Yes - ₹ 1000
No - ₹ 0
Course Name
*
Select
Clinical IVF
Clinical Embryology
MIGS
Management of high-risk ART
Pregnancies
Member 2
*
Email
*
Mobile
*
Pre-Congress Course
*
Select
Yes - ₹ 1000
No - ₹ 0
Course Name
*
Select
Clinical IVF
Clinical Embryology
MIGS
Management of high-risk ART
Pregnancies
Member 3
*
Email
*
Mobile
*
Pre-Congress Course
*
Select
Yes - ₹ 1000
No - ₹ 0
Course Name
*
Select
Clinical IVF
Clinical Embryology
MIGS
Management of high-risk ART
Pregnancies
Member 4
*
Email
*
Mobile
*
Pre-Congress Course
*
Select
Yes - ₹ 1000
No - ₹ 0
Course Name
*
Select
Clinical IVF
Clinical Embryology
MIGS
Management of high-risk ART
Pregnancies
Member 5
*
Email
*
Mobile
*
Pre-Congress Course
*
Select
Yes - ₹ 1000
No - ₹ 0
Course Name
*
Select
Clinical IVF
Clinical Embryology
MIGS
Management of high-risk ART
Pregnancies
Fee Summary
Registration (
—
)
₹ 0
Pre-Congress Courses (
—
)
₹ 0
Total Payable
₹ 0
All fees in INR. Taxes (if any) will be applied as per regulations.
Submit Registration