Registration form for IX MID TERM CME 2018
REGISTRATION FOR CME
Email address *
Name *
Your answer
Age (Proof required)
Your answer
Institution *
Your answer
Delegate Category *
Required
Eligible for student discount?
Member of IAGMH
Membership Number
Your answer
Contact Number
Your answer
Payment details ( NEFT Reference Number/DD Number) *
Your answer
Please do not forget to send the image of the payment made for the CME
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