NMUD

Registrations

Category	Conference	Workshop	Oral / Mini Oral Presentation
Delegate	2000	1000	500
Residents	500	500	500
Spot Registration	2500	1500	-

Bank Name – Indian Overseas Bank
Account Name – Armed Forces Medical College Branch, Wanawadi Road,
Pune - 411 040
Account Number – 183102000000309
RTGS/NEFT IFSC Code – IOBA0001831

Name*

Email*

Mobile*

MCI / State Medical Council Registration Number

Speciality*

Hospital/ Institute*

City*

Date of Arrival

Date of Departure

Select Participation Type

Conference Workshop Oral / Mini Oral Presentation

Workshop If you are attending a workshop, please select the appropriate one from the list below.

Date of Payment

Enter Payment Receipt Number / Transaction Number / UTR number*

Total Registration Amount Paid*

MMC Speaker Code

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Address

Contact Info