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TWO DAY INTERNATIONAL CONGRESS ON PHARMACEUTICAL CARE: "UNDERSTAND THE CONCEPTS AND IMPLEMENT IN PRACTICE"
Registration for the Congress and Accommodation
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Email
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Your email
Contact Number
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Your answer
NAME OF THE DELEGATE
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Gender
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Male
Female
NAME OF YOUR INSTITUTION
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Your answer
PLACE
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DESIGNATION
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STUDENT
FACULTY
RESEARCH SCHOLAR
CLINICAL PHARMACIST
ADMIN / MANAGEMENT / INDUSTRY
Other:
YEAR OF STUDY (if Student)
I PHARM. D
II PHARM . D
III PHARM. D
IV PHARM. D
V PHARM. D
VI PHARM. D
M PHARMACY (PHARMACY PRACTICE)
Other:
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MODE OF PAYMENT
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Online Transfer
Demand Draft
Internet Banking Transaction Reference No. / DD No.
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DO YOU LIKE TO PARTICIPATE IN E-POSTER COMPETITION?
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NO
DO YOU NEED ANY ACCOMMODATION?
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Expected Date of Arrival in order to Provide Accommodation
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Time of Arrival
Time
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