ACRSICON 2022 Registration Form
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Category *
NOTE :: PG Student - HOD's letter required for confirmation, kindly E-mail
Membership Number (mandatory for Member)
First Name *
Last Name *
Gender *
Institution / Hospital
City *
State *
Mobile Number *
E-mail *
Wish to add Accompanying Person (s) ? *
Fees : Rs. 9,440/- each
Accompanying Person(s) Detail (Name, Age, Gender)
SCAN & PAY REGISTRATION FEES (UPI ID : merchant549711.augp@aubank)
Kindly submit your Registration Fees as per category and choice. After successful transaction, please share successful payment receipt through E-MAIL id :  
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