MAHA EM 2020
3rd State Level Conference of EMA Maharashtra Chapter on Neuro Emergencies
From 6th to 8th of March.

Venue

Hotel Vivanta By Taj- Blue Diamond,
11, Koregaon Park Road,
Vasani Nagar,
Koregaon Park,
Pune, Maharashtra-411001


To pay, use details below:

Name: JEHANGIR HOSPITAL Name of the Bank: AXIS BANK Ltd. Branch: BUND GARDEN ROAD, PUNE Address: BUND GARDEN ROAD, PUNE 411001 MICR Code: 411211003 IFSC Code: UTIB0000073 SWIFT Code: AXISINBB073 Account Number: 073010100028024
Email address *
Name *
Your answer
Mobile Number *
Your answer
Designation *
Your answer
Institution *
Your answer
Category of Delegates *
Required
Sub Category *
Please pay according to your category as per the chart
Required
Pre-Conference Activity
MMC Regn No. *
Your answer
Address *
Your answer
Mode Of Payment: NEFT/IMPS/RTGS - Bank Name
Your answer
Transaction Receipt Number: NEFT/IMPS/RTGS *
Your answer
For any queries regarding registration and payment contact
Dr Zishan Godil
E-mail: zishan.godil@gmail.com
Mobile No. 9890409700

Dr Raj Mishra
E-mail: mbindaraj@gmail.com
Mobile No. 8652261708

Dr Aquib Shaikh
E-mail: aquibsheikh0987@gmail.com
Mobile No. 7776992391
Mode Of Payment: NEFT/IMPS/RTGS
1. Mail us the details of your payment to mahaem2020@jehangirhospital.com
2. It is mandatory to mention mahaem in the remarks while making payment
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy