Premium Members Registration Form for Events/Programs
Premium Members Registration Form

Premium Members Registration Form for Events/Programs

For Premium Members Only

Registration for every program/event compulsory.

Use same form to register for any event/program.

Premium Membership Services

As per Request received from stakeholders to introduce premium services with less formalities, easy & quick process.

  • One Time Premium Member Registration for Fast & Quick Registration for all events.

  • Unique Membership Number

  • Yearly/Annual Membership Renewal

  • Free, Premium, Priority & Quick Registrations for all events

  • Free, Premium, Priority & Quick Speaker/Presenter/Panelist/Resource Person Registration

  • Free, Premium, Priority & Quick Participant Registration

  • Free, Premium, Priority & Quick Participation E-Certificates for all registered/participated  events/programs

  • Free, Premium, Priority & Quick Presentation E-Certificates for all registered/presented  events/programs

  • Free, Premium, Priority & Quick, Phone, WhatsApp, Online Forms, Support for all queries related to above.

  • Free, Premium, Priority & Quick Publication as per eligibility

For Premium Memberships & Services and Further Details contact :

Sri. Dr. Ravindra  : +91 9705503767


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Email *
Your Premium Membership Number
 *
Full Name *
As required on certificate
Designation / Occupation / Profession *
Name of University / Institution / Organization / Hospital *
Contact Number *
WhatsApp Number *
Email Address *
Register as *
select whichever applies
Registration for Event/Program *
Event/Program Name *
Event/Program Date and Time *
Event/Program Date and Time - Mention Starting Time
MM
/
DD
/
YYYY
Time
:
Feedback / Suggestions/ Requests if any
Invited By / References if any : *
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