Registration



First Name *
Last Name *
Gender *
Date of Birth *
TSI Membership No
Institution / Hospital *
Qualification and Affiliation
Department
Address *
City *
State *
Country *
Mobile *
Alternate Phone
Email *
Pin code / Zip code *
Medical Council Registration Number
(For Practicing Doctors)
REGISTRATION TYPE *
Amount *
Online Payment *
PAYMENT MODE *
 
 
* Type of Meeting – Webinar Mode – Main conference – 2.5 hours Morning and 2.5 hours Afternoon/ Evening
*Student : Should send the scanned copy of the current ID card
*Certificate : Participation Certificate will be available at the end of the conference