Online Registration For NON OMFS



Any Queries Regarding Technical Assistance, Please Contact A1 Logics 0824 – 4252005, 0824 - 3563080 (India)
(Indian Standard Timing : 9:00 AM – 6:00 PM Working Days)
Category Fees Details (Per Day in INR)
Registration Amount Rs. 8,000/-
Accompanying Person Rs. 8,000 /-
Gala Dinner Rs. 2,500 /-
* Fields are mandatory
Registration Type : NON OMFS
Amount (in Rs)  :  0


Title :

* Name :
 
Gender :

* Designation :
 
* Speciality :
 
* Hospital/Organisation :
 
* Address :
 
* Country :

* State :

* City :

* Pin Code :
 
* Email Id :

* Choose Your Password :
 
* Confirm Your Password :

* Mobile Number :



* WhatsApp Number :





* Dental Council No. :

If You Don't Have Dental Council Number Type : NA

Gala Dinner Needed :
(Gala Dinner for one person is :2500.00Rs till June 30th 2024)


Accompanying Persons  :

Food Preference :

* Days :


 
Payment Information


* Amount (in Rs) :
 
( Registration )

Mode of Payment :






Note : Extra 3 % will be added as online Payment processing charges.
Online Payment accepts Debit and Credit card of all the Nationalised Bank.
To Continue, Please click on the SUBMIT button. It will redirect you to the Online Payment Gateway.


* Upload Your Recent Passport Size Color Photo :
(Photo Size Max 2MB & Format: .png,.jpg,.jpeg,.bmp)
(Once you select photo, Please Wait for upload)

   


Any other Comments / Request :