Registration Form - 42nd ICON Conference
* Required
I am eligible to be registered as:
*
Post Graduate Students/Nurses
Members of MOS & ICON
Other Delegates
Accompanying Spouse
Industry (Sponsor)
Industry (Non Sponsor)
Registration Fee Details:
All payments are to be made in the name of “Medintel Services Private Limited”.
Bank Account Name: MEDINTEL SERVICES PRIVATE LIMITED
Bank Account No: 00122320002363
Bank and Branch Name: HDFC Bank, Prabhadevi Branch
Branch IFSC Code No: HDFC0000012
Type of Account: Current
Next
Never submit passwords through Google Forms.
This form was created inside of kavinacreations.com.
Report Abuse
Forms
