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Registration form
Dear Delegates
We request you to fill the registration form and complete the payment process.
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Email
*
Your email
Contact number
*
Your answer
Requires Accommodation
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Title
*
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Dr
Prof
Mr
Mrs
MS
Name of the candidate
*
Your answer
Gender
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Male
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Other
Employee at MAHE
*
YES
NO
Student at MAHE
*
YES
NO
Category
*
Online
Onsite
Delegates Category:
*
Student
Faculty/Staff
MCON Alumni
Other MAHE Alumni
Designation
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State
*
Your answer
State Nursing Council registration number
(Applicable only to nurses)
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Abstract Submitted
*
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Please note- after submitting this application you will be proceeding for the payment gateway for online payment. Registration will complete only after the payment
A copy of your responses will be emailed to the address you provided.
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