National Conference Registration Form
NOTICE:   Seats for CRE Points / Candidates are Full.
100 Conference seats without CRE Points are still available for registration

Event Dates: May 1st 2021 - May 10th 2021
Event Link:  Google Link will be shared 24 hours before the conference.
Contact Phone: 7814342540   Email:  officeinpa@gmail.com

Total Fee to be deposited online: Rs. 1000/-
Link to deposit fee online and details:  https://www.inpa.org.in/agp
We take 5 working days to process the registration
Non Eligible / Incomplete Registration form will be rejected.

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1. Name *
2. Father's Name *
3. Date of Birth *
MM
/
DD
/
YYYY
4. Professional Status
5. Qualifications (As per RCI if available)
6. Area of Specialization
7. Gender
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8. Email *
9. Mobile *
10. Institutional Affiliation
11. CRR Number (As Per RCI if available)
12. Participation Category *
13. Designation
14. Contact Address
15. City
16. State
17. Pincode
18. Abstract and Paper Submission (Provide details if any)
19. Poster Submission  (Provide details if any)
20. Film Submission  (Provide details if any)
21. Payment Information (How you are paying) *
22. Payment Transaction Number (If Any)
21. Any Other Comments
Seat Status (Please Accept to Proceed) *
CRE Point Seats are now full. You can only register for NON CRE Point Seats for which you will NOT get any CRE points by RCI, but you will get a participation e-certificate from INPA.
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