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AMPOGS (REWA) 2025 Registration Form

please fill the details in the form

First Name

Middle Name

Last Name

Age

Sex

Address

City

State

Country

PinCode

Mobile Number

Email Id

Medical Council Number

Registration Fee

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Early Bird Registration till October 30th 2024
Category	Fee 1	Fee 2	Fee 3
Fogsi Members	3000	4000	5000
PG Students	2000	3000	4000
Non Fogsimembers	4000	5000	6000

Note

1. Conference registration is mandetary to attend the CMES and cultural events.

2. Registration badge is mandetary to attend the scientific Hall / lunch / Dinner / exhibition area /entitainbust

3. Bank Draft / Cheque should be made in favour of AMPOGS 2025