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TROPACON N.E 2022
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Name
Your answer
Sex
Male
Female
Date of Birth
MM
/
DD
/
YYYY
Designation
Your answer
Institute
Your answer
Address
Your answer
State
Your answer
Pin Code
Your answer
Phone No
Your answer
Email ID
Your answer
Choice of meal
Veg
Non Veg
Clear selection
Category of Delegate
IATP Life Member
Non IATP Life Member
PG Student / Senior Resident
Associate Delegate
other
Clear selection
IATP Life Membership No ( If applicable)
Your answer
Transaction Details
Plese mention UTRno./transaction ID
Your answer
transaction amount
Your answer
Participation desire
Only Day One (offline)
Only Day Two (offline)
Both Days (offline)
Only Day One (online)
Only Day Two (online)
Both Days (online)
Date of Transaction
MM
/
DD
/
YYYY
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