JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
IMSACON-2020
8th International Medical Sciences Academy Conference- 2020
12-13th Dec 2020
Pt. Bhagwat Dayal Sharma
Post-Graduate Institute of Medical Sciences, Rohtak
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Middle Name
Your answer
Last Name
Your answer
Designation
*
Your answer
MCI/State Medical council registration number (if UG write IMSACON UG , if intern write IMSACON INT , if nursing use IMSACON NUR )
*
Your answer
Age
*
Your answer
Department
*
Your answer
Institution
*
Your answer
Address
*
Your answer
city
*
Your answer
State
*
Your answer
Pin
*
Your answer
Phone No
*
Your answer
PAYMENTS DETAILS - AMOUNT
*
Your answer
PAYMENTS DETAILS - TRANSACTION ID
*
Your answer
PAYMENTS DETAILS - BANK/BRANCH NAME
*
Your answer
PAYMENTS DETAILS - DATE OF TRANSACTION
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms