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* Indicates required question
Name:
*
Your answer
Type of participant:
*
RMCian
Non-RMCian (Working at RMC & RMCH)
Guest & others
Batch/Session/Passing year:
*
Your answer
Designation: (Current/Retired) eg. M.O, lecturer, Professor etc.
Your answer
Working Place: (current/ last posting place)
Your answer
Mobile No.
*
Your answer
Email:
Your answer
Number of attendees including you:
*
1
2
3
4
5
6
7
8
9
10
Registration fee (Total in BDT)
*
Your answer
Registration fee paying system:
*
Bkash
nagad
Rocket
Cash
Mobile number & reference code used in fee transaction: ( incase of Cash mention the receipt memo no.)
*
Your answer
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