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Types of Delegates
*
Indian
Attendee
*
Select Attendee
Faculty
Faculty with Associate Delegate
PG Student
UG Student
Upload Dean Certificate (Upto 100KB)
*
Type of Conference
*
Anatomy
Accomodation
No
Yes
Select Room Type
*
Select Room Type
Select Night
-Select no of Night-
1-Night
2-Night
Extra Bed
No
Yes
Registration Fee
Conference Amount
Discount Amount
Accomodation Amount
Taxable Amount
GST Amount(18%)
Grand Amount
Personal Information
Salutation
*
Dr
Prof
Mr
Ms
Mrs
First Name
*
Middle Name
Last Name
*
College/Institution
*
Email
*
Phone
*
Qualification
*
Designation and Affiliation
*
*Membership of Regional Chapter of Anatomists
No
Yes
MMC Reg Number
Address Information
Address
*
Landmark
*
City
*
Pincode
*
Country
*
State
*
Accompanying Person
Self
Adults
Child above 12 years
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