4TH
NEURO CRITICAL CARE
UPDATE 2023
Online
Registration
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*
) are necessary.
Registration Category :
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Delegate
PG Student
Title
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Dr.
Prof.
Mr.
Miss.
Mrs.
First name
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Last name
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Designation
Institution
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Accompanying Person Details :
Accompanying 1
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Accompanying 2
Female
Male
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Son
Daughter
Mother
Father
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Banquet Yes
Banquet No
Accompanying 3
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
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Banquet Yes
Banquet No
Accompanying 4
Female
Male
Spouse
Son
Daughter
Mother
Father
Other
Select Banquet
Banquet Yes
Banquet No
Banquet :
No
Yes
Workshop :
No WorkShop
Live Temporal Bone Dissection & Hands on Training (Limited 20 Seats available)
Onco-plastic
Total Amount :
Category
Amount
Registration
0
Accompanying Persons
0
Banquet
0
Workshop
0
Total (
Rs.
)
0
Account Detail:
Account Name:
Somex Research and Health Pvt. Ltd.
Account No:
33772853773
Bank Name:
State Bank of India
IFSC Code:
SBIN0017635
Branch Name:
Mahesh Nagar, Jaipur
Payment Mode
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