Sangama Registration

Registration Form

Fields marked with * are mandatory

Personal Information

Full Name

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Email Address

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Mobile Number

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Institution / Affiliation

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City

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Professional Details

Registration Category *

Postgraduate Student

₹1,500

Valid HOD letter required

Faculty / Academician

₹2,500

Attending or presenting

Practicing Physician

₹3,500

Clinician delegate rate

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Council Registration Number

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Are you presenting a paper / poster?

Yes

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Preferences

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Declaration

I hereby declare that all the information provided above is true and correct. I understand that my registration will only be finalized upon payment confirmation. I confirm that all meals and shared accommodation are included in this registration fee.

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Submitted