Full name as per I'd Proof *

Gender *
FemaleMale

Age *

MCI Regn. No *

Phone No *

Email Id *

Address *

RSSDI Membership Status *
Member (Regn. Fees Rs. 6000)Non-member (Regn. Fees Rs.10000)PG Student - Free Regn. ( I-card photo need to be uploaded)

Upload Id Proof ( Any Valid ID Proof) *

You will be available to attend the conference on which dates? *
26th August,2022, Friday27th August,2022, Saturday28th August,2022, Sunday

PG Student *
YesNo