#MeDeVision2018: Registration Form
All India Medical & Dental Students Conference

Venue : The Tamil Nadu Dr. M.G.R. Medical University, Chennai, Tamil Nadu
Date : 21, 22 April 2018
Reporting Time : 8:00 am on 21st April 2018
Registration Fee : ₹500/-
(Inclusive of Food, Accommodation & Local Transport)

Note : Food and Sharing/Dormitory type accommodation will be provided to delegates (except residents of Chennai) from evening of 20th April to evening of 22nd April, 2018. If someone requires extra accommodation facility for night of 22nd April as well, then they should specifically mention so while filling this Online Registration Form and communicate with us. Such requests will be considered at our discretion based on availability.

For Communication of #MeDeVision2018
Dr. Chintan - 9638075627
Dr. Akash - 8058224979
Dr. Kurush - 8689923959
Dr. Akshay - 9071802845
Dr. Virendra - 9425352313
Dental :
Dr. Saurav - 8103652150
Dr. Aradhana - 7259496373

FB: www.facebook.com/MeDeVisionOrg
Twitter: www.twitter.com/MeDeVisionOrg

Conference Secretariat
MeDeVision, 3, Marble Arch, SB Marg, Opp Matunga Road, Mahim, Mumbai 400016
Phone: +91 9757109927 | E: office.medevision@gmail.com | W: www.medevision.org

Please provide details for registration. All fields are mandatory.

Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Sex *
Occupation *
Qualification *
Name of College/Institution *
Eg - ABC Medical College, Mumbai
Your answer
Mobile Number *
Please enter your 10 digit mobile number
Your answer
Address *
Your answer
City *
Your answer
State *
Emergency Contact *
Please enter mobile number of parent/guardian/emergency contact
Your answer
Whether Participating in Poster Presentation *
Whether Participating in Paper Presentation *
Whether I Need Accommodation Facility *
Suggestions for MeDeVision Resolution
Please give your valuable suggestion in brief to the Government, for Effective Medical Education. Genuine answers will be included in MeDeVision Resolution
Your answer
Whether I need accommodation for the night of 22nd April ? *
A copy of your responses will be emailed to the address you provided.
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