Registration Form
Kindly fill the given details (This E-mail Address will be used for all further communications)
Email address *
Name *
Mobile Number *
Place of work / Affiliation *
What is your current post? *
In case of "other" post please specify
City of work *
Type of Delegate *
Whether bringing an accompanying person? *
Please select the events which you wish to attend *
IAPS Membership No. *
Transaction Type *
In case of mode being "Cash Deposit" please send an Image of your transaction receipt to iapscon2019@gmail.com from your registered email ID.
Amount Transferred *
Transaction ID/Cheque No. *
Enter "0" if cash deposit is made
Transaction Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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