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IAGMH Registration form
9th & 10th March, 2024
at
Hotel Hyatt Place, Hyderabad
.
Name of Account: Dr. G Prasad Rao/ Dr. Chytanya Deepak Ponangi
Bank details: HDFC Bank, Banjara hills, Hyderabad- 500034, Telangana
Account no. 50100701318082
IFSC CODE: HDFC0003860
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NAME
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ADDRESS:
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PINCODE
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MOBILE:
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EMAIL:
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IAGMH MEMBERSHIP NO.
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MCI No.
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Food option:
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Mode of payment: (Cheque/DD no./UPI/NEFT/RTGS)
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