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REGISTRATION FORM

Please note: Mobile number and Email id once entered can not be changed.

Please select a plan
Please fill all the fields Please enter a valid name Please enter a valid age
Accompanying Person Details

Category Registration fees Spot*
TILL FEB 15 FEB 16
TO
APR 30
1ST MAY
TO
JULY 15
Rs. 6500 Rs. 7500 Rs. 8500 Rs. 10000
Rs. 7500 Rs. 8500 Rs. 9500 Rs. 11000
Rs. 6000 Rs. 7000 Rs. 8000 Rs. 9500
Rs. 5000 Rs. 5500 Rs. 6000 Rs. 7000
$ 175 $ 200 $ 250 $ 300
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    Total Amount :

  • (Base Amount)

  • (15% Tax)

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    =  

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    Total Amount :

  • (Base Amount)

  • (15% Tax)

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  • BANK DETAILS FOR NEFT/RTGS/DD DEPOSIT
  • Account Name :

    UROLOGY

  • Account No.:

    33508958510

  • Bank Name :

    State Bank of India

  • Branch :

    Manipal

  • IFS Code:

    SBIN0004426

  • Kindly e-mail the transaction number/ scanned copy of payment slip to conference secretariat


TERMS AND CONDITIONS
  • Government Taxes (as applicable)
  • Only registered guests will be allowed to attend the scientific sessions and exhibitions.
  • PG Students should submit a bonafide letter from the Head of the Department.
  • Transaction fees charged would not be refunded / reversed / Chargeback for any refund or reversal of any transaction.
  • Transaction fees charged would be borne by cardholder for any payment.
REGISTRATION FEE INCLUDES

DELEGATE

  • Admission to Scientific sessions and Exhibition
  • Refreshments during breaks
  • Lunch on 11th, 12th & 13th August 2017
  • Inaugural dinner on 11th August 2017
  • Banquet on 12th August 2017
  • Delegate Kit
ACCOMPANYING PERSON
  • Refreshments during breaks
  • Lunch on 11th, 12th & 13th August 2017
  • Inaugural dinner on 11th August 2017
  • Banquet on 12th August 2017
  • Delegate Kit
ATTENDEE LOGIN
FORGOT PASSWORD