Online form

REGISTRATION DETAILS

Process:
For online registration, delegates are informed to pay the registration fees by

  1. Depositing to the below mentioned bank account
  2. NEFT

REGISTRATION FEE

Pre Conference Workshop – INR 1000/-
Conference:
UG Students,Interns &  PG Scholars – Rs.2000/-
Practitioner/Faculty – Rs.2500/-

BANK ACCOUNT DETAILS:

Account Number: 05382150000029
Name: Syndicate Bank
Branch: Goa Ves, Belagavi, Karnataka
IFSC Code: SYNB0000538
Registration Closes by 10-12-2016 22:00 hours. (FLASH)
For assistance Email to: sampraharsha2016@gmail.com

REGISTRATION HELPLINE

Dr. Kiran Mutnali -9164648888; Dr. Meghana Patil -9916871886, Dr. Pramod Shet -9342938479

Add Number of people

Name* Age Gender Contact no Email Id College name /Address Accommodation Required** Category Register for Amount Mode of Payment Transaction ID***

* As required in the Certificate. ** Registration Fees doesn 't include accommodation. Organizers will facilitate booking of rooms on request. *** Mention Bank Issued Transaction ID for smooth registration.