Registration Form - IDCON 2022
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number (Whatsapp)
*
-
Area Code
Phone Number
Designation
*
Please Select
Junior Resident (PG)
Senior Resident
Assistant Professor
Associate Professor
Additional Professor
Professor
Consultant
Head of Department
Other
Others, Please Specify
Department
*
Others
Infectious Diseases
General Medicine
Clinical Microbiology
Paediatrics
Surgery
Tropical Medicine
Others
Others, Please Specify
State
*
Affiliation (Institute)
*
Are you attending
*
Conference only
Conference + Pre conference Workshop
Are you participating in quiz? (A team of one SR & one JR from same institute)
*
Yes
No
Are you participating in Oral Case Presentation? (Only for ID fellows)
*
Yes
No
Are you participating in Poster presentation (open for all)
*
Yes
No
Transaction ID
*
Upload transaction proof
*
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