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CONFERENCE REGISTRATION

FRI, SAT. & SUN. 2ND, 3RD & 4TH AUGUST 2019 Early bird till 31st May, 2019 Regular till 31st July, 2019 Spot 2nd August, 2019
CONFERENCE WORKSHOP CONFERENCE WORKSHOP CONFERENCE WORKSHOP
Practicing Clinicians INR 10,000 INR 10,000 INR 13,000 INR 12,000 INR 14,000 INR 12,500
Embryologists INR 9,000 INR 10,000 INR 10,000 INR 12,000 INR 12,000 INR 12,500
Post Graduates INR 5,000 INR 8,000 INR 7,000 INR 10,000 INR 8,000 INR 10,000
Accompanying persons INR 5,000 INR 8,000 INR 7,000 INR 10,000 INR 8,000 INR 10,000
International Delegates USD 300 USD 250 USD 400 USD 300 USD 500 USD 350
PGD/ PGS workshop Nil INR 25,000 /
USD 360		 Nil INR 26,000 /
USD 375		 Nil INR 27,000 /
USD 390
Senior Clinicians and Professors 70 yrs Nil Nil Nil Nil Nil Nil


REGISTRATION FORM

Basic

Basic Information

Conference

Conference / Workshop Information
Accompanying Pertson (If Any)

Payment

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Offline Payment Details (Cheque/ Cash / NEFT) )

Bank Name : Kotak Mahindra Bank
Account Name : Fertility Society of India
Account number : 3713071121
Branch Name : Nelson Manickam Road
IFSC CODE : KKBK0008517
SWIFT CODE : KKBKINBBCPC
BRANCH CODE : 008517
Kotak Mahindra Bank LTD.
Nelson Tower, 1st Wing,
Nelson Manickam Road,
Aminjikarai, Chennai,
Tamil Nadu 600029

Email acknowledgement to:
fsifinance2010@gmail.com


For Workshops only Limited seats first come; first serve basis