REGISTRATION - INASL-ILCA 2025
Registration Type:
*
Non-Residential (Only Registration)
Residential (Registration + One Night Stay)
Category:
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INASL/ILCA Member ₹10,000
Non-Member ₹12,000
PG Student Free
INASL/ILCA Member ₹20,000
Non-Member ₹22,000
PG Student ₹5,000 (Twin Sharing)
Membership No :
*
Title:
*
Select
Dr.
Mr.
Mrs.
Miss
Prof.
Name:
*
Whatsapp No:
*
Email:
*
Hospital/Institution:
Address:
Country:
State:
*
City:
*
Designation:
*
Year of Qualification:
*
Either Bonafide certificate or valid ID:
*
Only PDF files are allowed. Max size: 10 MB.
Upload Any Government Identification Document (Aadhar / Voter ID / Driving License):
*
Only PDF files are allowed. Max size: 10 MB.
Total Amount (₹):
Amount: ₹0 + GST (18%): ₹0 = Total: ₹0
SUBMIT
