RESIDENTIAL / NON RESIDENTIAL

Email ID *

First Name *

Last Name *

Mobile No. *

Pincode *

City *

State *

Country *

Qualification? (Registration is only for qualified Plastic Surgeons/ Dermatologists)*

Dermatologist

Plastic Surgeon

Medical Council No. *

Address *

Note: Registration shall be cancelled (non refundable) if delegate is not a qualified Dermatologist/ Plastic Surgeon.

Registration Type

RESIDENTIAL

NON RESIDENTIAL

ALREADY REGISTERED

PARTICULARS

AMOUNT

Registration Fee

TOTAL COST

GRAND TOTAL

PARTICULARS	AMOUNT
Cost of FCLS & MCLS
Registration Fee
Cadaveric Course
Robotics Training
Cost of Accompanying Person(s)
Cost of Masterclass
Cost of Workshop
CGST (9%)
SGST (9%)
TOTAL COST
GST (18%)
GRAND TOTAL

Account Name :	Association of Aesthetic Medicine and Surgical Specialist
Account Number :	50100819666969
Bank Name :	HDFC BANK
Branch Address	Defence Colony D Block, New Delhi
IFSC Code	HDFC0000134