Personal Details
Title*
-- Select Title --
Prof.
Dr.
Mr.
Ms.
Mrs.
Please select a title.
Full Name
*
Name must be 3 to 50 characters and only alphabets, dot (.) and spaces are allowed.
Medical Council Registration Number (for credit hours)
Membership Nos
Age
*
Age is required.
Age must be between 18 and 99.
Sex
Male
Female
Mobile No(+91)*
Enter a valid 10-digit mobile number.
Email ID*
Designation*
Organization*
Address*
City*
State*
Country*
Pincode*
Conference Category
-- Select Conference Category --
NABI Member ₹18000
Non NABI Member ₹18500
PG Students ₹12000
Nutritionist, Physiotherapist, Physiologist, BAMS, BUMS ₹10000
Nursing Staff - (Only 27th Feb 2026)- This registration category valid for 1 day only ₹7000
Nursing Students - (Only 27th Feb 2026) - This registration category valid for 1 day only ₹5000
Note: A Certificate/letter from the Head of Department (HOD) is mandatory to avail the PG student
Quiz:
Yes
No
Accompanying Person
(9500Per Person)
Select Accompanying Person(s)
1
2
3
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