National registration

1 Membership

Are you an ISL / APSI / IMC member? *

Yes No

2 Personal details

Title *

First name *

Last name *

Name on badge *

Gender *

Age *

3 Contact

Email *

Mobile *

4 Professional details

Medical council number *

State of Registration *

Institute / Hospital name

5 Postal address

Address

Country

State *

City *

PIN / Zip code *

6 Registration & fees

Registration package

Current national fee tier: Super Early Bird Registration. Amounts in INR — see full fee schedule.

ISL / APSI / IMC Members Super Early Bird Registration Rs 34,220

Non-Members Super Early Bird Registration Rs 41,300

Physiotherapists / Nurses / Residents and PG Students Super Early Bird Registration Rs 30,090

Delegate category *

Accompanying persons *

Estimated total

Package fee	—
Accompanying persons	—
Total payable	—

7 Terms & conditions

I confirm that the information provided is accurate. I agree to the congress terms & conditions, cancellation policy, and delegate conduct rules. I understand that registration is subject to verification by the secretariat.

You will scan the bank QR code and submit your transaction details on the next step.