Basic Delegate Registration

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Sign up as Delegate

All participants need to have a basic delegate card to attend the conference.

First Name

Last Name

Email

Year of study

Code

Phone

Institution

Address

City

State

Postal / Pin code

Contacts:
Vedant Majik (Organizing President) Riya Sharma (Organizing Secretary) +91 97642 68964 +91 95521 55997

Goa Medical College and Hospital, N17, Bambolim, Goa 403202

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