Registration

Registration

First Name*
Last Name*
Email Address*
Gender*
Mobile Number*
Retina Training / Fellowship Institute*
Address*
City*
State/Province*
ZIP / Postal Code*
Country*
Package
Retina Fellows / Early Career Retina Specialists (Residential Package) - 3894/-(Inclusive of GST)
Delegates (Non-Residential Package) - 5900/-(Inclusive of GST)
Total
*Registration fees once paid will be non-refundable.
Payment details given below:
Bank details:
Account Name. GLOBAL CONFERENCES & EXHIBITIONS
Account No. 0459020140000006
IFSC CODE : JAKA0GKLASH
Bank : JAMMU & KASHMIR BANK
Branch: C-10, Greater Kailash, New Delhi-48
Transaction ID/UTR Number*
Transaction Receipt*
Remarks