Conference Registration Form

🎉 GANESH CHATURTHI SPECIAL OFFER 🎉
Get 10% OFF on Registration!
Offer valid from 13th to 15th September 2026 only.
🙏 गणपती बाप्पा मोरया 🙏

FULL NAME IN CAPITAL LETTERS

Please enter full name (in capital letters).

COMPLETE COMMUNICATION ADDRESS

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PIN CODE

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GENDER

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MOBILE NUMBER WITH ACTIVE WHATS APP

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Please enter a valid email address.

MMC NUMBER/OTHER STATE

ISCCM MEMBERSHIP NUMBER

REGISTRATION CATEGORY

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Accompanying Person

Select how many accompanying persons (No / 1 / 2).

WORKSHOP

MECHANICAL VENTILATION WORKSHOP

Renal Replacement Therapy (RRT) & ECMO

Advanced Hemodynamic Monitoring

Advanced Airway Management

Obstetric Critical Care

POCUS WORKSHOP

None

Total Amount

Base Amount ₹ 0.00

GST (18%) 27AAMTS6525Q1ZI ₹ 0.00

Internet Handling Charges (2.20%) ₹ 0.00

Grand Total ₹ 0.00