Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
METROCON 2024
6, 7 July 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone number
*
Your answer
Institute
*
Your answer
Designation
*
Post graduate Student (must furnish a bonafide letter from respective HoD)
ISA Member
Non-member
ISA Membership number (for members)
Your answer
Opted for
*
CME + WORKSHOP
Only CME
Name of workshop
POCUS
USRA
Clear selection
Pay by netbanking to
"Kolkata Society of Anesthesiologist",
Account number: 50200040734135,
HDFC Bank, Bidhan Nagar Branch,
IFSC Code: HDFC0002697
Or via UPI (QR Code below)
Mention your name and "METROCON 2024" i
n the subject.
Payment details (reference ID etc):
*
Your answer
Food preference
*
Veg
Non veg
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
