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For special group discounts, please contact us [email protected] or +91 90806 56880, and our office will get in touch with you.

Participant registration.

All fields are mandatory except MCI registration number and address.

Conference Mode Choose Virtual Physical

Choose Title Choose Dr Mr Ms Pro

Full Name (Without title)

Organization / Company Name

Email

Re Type Email

Mobile Number

City ( type to choose or enter if not in list )

State

ChooseAndhra PradeshAndaman and Nicobar IslandsArunachal PradeshAssamBiharChandigarhChhattisgarhDadar and Nagar HaveliDaman and DiuDelhiLakshadweepPuducherryGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Country ( type to choose or enter if not in list )

PIN Code / ZIP Code

Address

Choose Category

Choose

MCI Registration number (if you have)

Accompanying Person (for Physical Conference only) Rs 1500/per person+GST = Rs 1770 per person

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Choose Number of Accompanying Person No Accompanying Person One Two Three Four

1. Accompanying person name

2. Accompanying person name

3. Accompanying person name

4. Accompanying person name

Do you want to be a part of DECON Medical Academy ? Choose Yes No

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