Registration Form

Registration Form

Types of Delegates*

National

International

Attendee *

Type of Conference *

Pre-conference Workshop

Conference

Pre-conference workshop + Conference

Accomodation

No

Yes

Registration Fee

Conference Amount

Discount Amount

Accomodation Amount

Taxable Amount

GST Amount(18%)

Grand Amount

Personal Information

Salutation *

First Name *

Middle Name

Last Name *

Email *

Phone *

Address Information

Address *

Landmark *

City *

Pincode *

Country *

State *