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Registration Form
1st International E-Conference on Woman's Mental & Physical Health 2021
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Email
*
Your email
Full Name (Required to be print on Certificate)
*
Your answer
Phone number with Country Code
*
Your answer
Country
*
Your answer
Organization/Institute/University Name
*
Your answer
Gender
*
Your answer
Current Status
*
Student (UG/PG- Physiotherapy)
Professional (Physiotherapy)
Student (UG/PG- Psychology)
Professional (Psychology/Psychiatry)
Other Health Professionals
Faculty
Fees paid (INR/USD)
*
Your answer
Mode Of Payment
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Paytm/GPay/Phonepe/UPI to 9590501545
Paypal to (
physioankit01@gmail.com
)
Neteller to (
physioankit01@gmail.com
)
Skrill to (
physioankitbhargava@gmail.com
)
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