Online Registrations | ICHSA 2018

Online Registrations

Instructions: Please keep the details of the fee deposited ready before submiting registration form

Name of Delegate *

Gender *

Male

Female

Designation *

Name of Institute / Organization *

Address *

E-Mail *

Phone (Optional)

Mobile *

Whether Presenting a Paper *

Paper Title *

Paper ID *

Registration Category *

Extra Paper Charges *

Accommodation Needed (Only for Indian participants)*

Accompanying Person *

Mode of Payment *

Details Of Payment

Amount Paid *

Online Transaction ID/Ref. No. *

Date *

Bank Name *

Place *

IFSC/SWIFT Code *