Registration Form
Full Name*
Email Address*
Mobile Number*
Accept 10 Digit Mobile Number Only
MMC State Registration Number *
City*
Institute
NON RESIDENTIAL PACKAGE
(Upto 15 Jan 2026)
RESIDENTIAL PACKAGE
(Upto 15 Jan 2026)
Registration Amount (₹)
Pre Conference Workshops (Limited Seats)
Yes
No
Mode of Payment *
Select
Cheque
DD
NEFT/RTGS/Paytm/Phonepay/Googlepay
Transaction No. *
Upload Payment Screenshot *
* Screenshot of “Payment Success” required please upload file
Sacn QR Code or Use UPI ID to Pay *
easypay.X03JDUDLCZ3T7LR@icici
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