Name : Porf./Dr./
    Age :
    Sex :
    Speciality :
    Affilliation :
    Registration Number :
    Postal Address :
    City :
    State :
    Pincode :
    Mobile :
    Land Line :
    Email :

    REGISTRATION FEE
    REGISTRATION UPTO 31 JAN 16 UPTO 31ST MAR 16 FROM 1ST APR 2016
    EICDRA Members 4,500/- 6,000/- 7,500/-
    Delegates 6,000/- 7,500/- 9,000/-
    Accompanying persons 4,500/- 5,000/- 6,000/-
    P.G Students 3,600/- 4,500/- 6,000/-
    Pre Conference Workshops 3,000/- 4,500/- ———
    Master Classes 2,400/- 3,000/- ———
    Corporate Delegate 7,500/- 9,000/- 12,000/-
    International Delegates $ 200/- $250/- $300/-
    Developing Countries $100/- $150/- $200
    For Delegates registering after 1st April 2016 Conference kits cannot be ensured