Registration Form Name(Required) Are you an International Delegate?(Required)NoYesUpload flight ticket(Required)Max. file size: 5 MB.Registration type(Required)Without AccommodationWith AccommodationCheck in Date(Required) MM slash DD slash YYYY (Check in time: 1 pm)Check out Date(Required) MM slash DD slash YYYY (Check out time: 11 pm)GenderMaleFemaleDate of Birth Day Month Year Mobile Number(Required)Email ID(Required) Medical Council(Required)Andhra Pradesh Medical CouncilArunachal Pradesh Medical CouncilAssam Medical CouncilBihar Medical CouncilChattisgarh Medical CouncilDelhi Medical CouncilGoa Medical CouncilGujarat Medical CouncilHaryana Medical CouncilHimanchal Pradesh Medical CouncilJammu & Kashmir Medical CouncilJharkhand Medical CouncilKarnataka Medical CouncilMadhya Pradesh Medical CouncilMaharashtra Medical CouncilManipur Medical CouncilMedical Council of IndiaMizoram Medical CouncilNagaland Medical CouncilOrissa Council of Medical RegistrationPunjab Medical CouncilRajasthan Medical CouncilSikkim Medical CouncilTamil Nadu Medical CouncilTelangana State Medical CouncilTravancore Cochin Medical CouncilTripura State Medical CouncilUttarakhand Medical CouncilUttar Pradesh Medical CouncilWest Bengal Medical CouncilOCI / IOA / OthersOtherMedical Council Registration Number(Required) Institution Present Academic Qualification Contact Address State(Required)Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttarakhandUttar PradeshWest BengalAndaman and Nicobar IslandsChandigarhDadra and Nagar Haveli and Daman & DiuThe Government of NCT of DelhiJammu & KashmirLadakhLakshadweepPuducherryOtherCity(Required) Did you opt for Wetlab?(Required) Yes No Select your Wetlab stations (Choose 4)(Required) ORTHOPTICS - Balancing the Unbalanced CATARACT SIMULATOR: ALCON FIDELIS - Mastering skills with the Masters LATEST PHACO MACHINES - It's all about the Technology MI-LOOP - The Game Changer ICL LOADING - Conquering the Art IPCL LOADING - Conquering the Art MK HANDS ON - It's not always Bladeless! FEMTOSECOND LASIK - Lifting Made Easy! SILK HANDS ON - Exploring new realms of Refractive surgery Contact Lens Training iStent Handson Training Registration for Wetlab is mandatory. Limited slots available for first 100 registrations only.Select Latest Phaco Machines (Choose 2)(Required) Quatera Legion Signature Pro Choose your preferred days for Wetlab(Required) 04/10/2024 05/10/2024 06/10/2024 Time slots will be allocated & intimated to you. (Each slot - 30 mins)Have you registered as a resident/ trainee?(Required) Yes No Upload your ID proof(Required)Accepted file types: jpg, png, pdf, docx, Max. file size: 10 MB.Unique ID Home Page Abstract Submission CONTACT US
