2nd ISICPIM National Conference Registration

Application Id : 220

First Name*

Last Name*

Address

Gender

Male      Female      Others     

Mobile No*

Email ID*

Designation

Department

Institution or Organization

Degree

Medical Council Name & Registration Number*

Choice of Food

  Veg   Non-Veg

Registration Category *

ISICPM Member
Non Member
Postgraduates (* For Postgraduate Bonafide student certificate from head of department is mandatory.)

Select Workshop

Workshop (Basic & Advance Echocardiography with POCUS)

No. of Accompanying Person (INR 2000+18% GST per head - Total-INR 2,360)

Choice of Payments *

  I accept and agree to the Terms & Conditions.

For any Query Regarding Registration Please Contact.

Download Brochure
Download Programme
Online Registration