Personal Details
Title*
-- Select Title --
Prof.
Dr.
Mr.
Ms.
Mrs.
Please select a title.
Full Name
*
Name must be 3 to 50 characters and only alphabets, dot (.) and spaces are allowed.
Medical Council Registration Number (for credit hours)
IAP Membership Nos
Age
*
Age is required.
Age must be between 18 and 99.
Sex
Male
Female
Mobile No(+91)*
Enter a valid 10-digit mobile number.
Email ID*
Designation*
Organization*
Address*
City*
State*
Country*
Pincode*
Conference Category
-- Select Conference Category --
IAP Members ₹6500
Non IAP Members ₹7500
PG Students ₹5500
Workshop
Select Workshops
PEDIATRIC AND NEONATAL VENTILATION WORKSHOP - ₹2500
INBORN ERRORS OF METABOLISM (IEM) - ₹1500
DAILY PEDIATRICS PRACTICE POTPOURRI UNDERSTATING THE COMMON EVALUATIONS - ₹1500
CRITICAL CARE NEPHROLOGY WORKSHOP - ₹1500
PEDIATRIC ENDOCRINOLOGY MADE EASY - ₹1500
PEDIATRIC ONCOLOGY - ₹1500
Accompanying Person
Select Accompanying Person(s)
1
2
3