Group Registration Form
Note:
While doing Group Registration, all delegates should be of the same category.
Note:
A minimum of 10 participants is required, and a maximum of 15 participants can be added.
Type of Delegates: A group of 10 doctors is eligible for a 10% discount on the total amount.
- Select -
PG Students (NPT Members)
PG Students (Non - NPT Members)
Faculty (NPT Members)
Faculty (Non-NPT Members)
MD Pharmacology Clinical Practitioners
Industry Delegate
Sr. No.
Name
Mobile Number
Email
State Council Number
Institute
City
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Add More Members
If you want to register for the workshop, contact Mr. Himanshu on
+91 8983300060
.
Selected Amount (₹):
Proceed to Payment