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Registration Form

Home Registration Form

Registration Closed

Salutation

Full Name(as per certificate)

Email Id

Mobile No.(whatsapp Number only without country code)

Gender

Age

Institute

Address

City

State

Medical Council Registration Number(MCI)

Category

Do you want to register Accompanying person? *

Upload Aaadhar Card*

Do you want to attend Workshop? *

Payment Mode

IAMM TAPC Registration ID*

Amount

Bank Details:
Account Name: MICROBIOLOGY NIMS SCIENTIFIC ASSOCIATION (MNSA)
Current A/c No : 107911010000068
IFSC Code : UBIN0810797
Bank Name: UNION BANK OF INDIA
Branch Name : NIMS Branch, Punjagutta, Hyderabad – 500082 (TG)
PAN : AAWAM6634K

UTR Id / Transaction Id.*

Transaction Date *

Upload Payment Receipt *