Registration Form (Conference: 07th to 09th March, 2018)

ISCCM GSTIN NO. 27AAATI0221M1ZV


Dear All,
Greetings from ISCCM.
We, are happy to inform you all that, recently it has been decided and approved by ISCCM EC to isolate registration for the Annual conference and workshop separately . So now if you want to attend only Workshop then there is no need to register and pay for Conference or vice-versa.
We, request you all kindly note and register for yourself, if not yet done.

For any difficulty during online registraion, please get in touch with us at online.criticare@gmail.com or call us on +91-9821128132
For queries related to offline registraions or any other queries please write to us on conferencecoordinator@isccm.org or call on +91-7045637444



Step 1: Select Delegate Type

Delegate Type *







Step 2: Enter Delegate Details

Salutation *
Name *
Surname *
Hospital
Title / Position
Mailing Address
City *
State *
Pincode *
Country *
Tel No Hospital / Office
Residence
Fax
Mobile No *
Email *
Mobile No
(for international delegates only)
Attending Sessions
Accompanying Persons
Age
Total Amount in Figure
Total Amount in Words
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CONTACT US

Address :
Secretariat, Department of Anaesthesiology,
Institute of Medical Sciences,
Banaras Hindu University,
Varanasi-221005, Uttar Pradesh

Telephone : 0542-2360360

Mob : +91 - 08317007518/ 8400100128

E-mail : info.criticare2018@gmail.com

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