coming soon
Conference Online Registration
Please fill in the form below. Registration will be confirmed only after payment.Venue link:- Survye No.359, NH 4, Highway, opp. Pudhari Press, Toap, Shiroli, Maharashtra 416122
Full Name
*
first name
.
last name
Select
*
Please Select
IDA member
Non IDA member
Student
Accompany
Address
*
Street address
Street address Line 2
City
State / Province
Postal / Zip Code
Country
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Qualification
*
BDS
MDS
Intern
PG
Registered for Hands on(Extra 2000):
*
Yes
No
Registered for Gala Banquet (Extra Rs 1500 each)
*
Yes
No
Accompanying person for Gala banquet
*
Total Amount Paid
*