Registration Form Registration FormFull NameQualification Designation Institute NameMobile NumberEmail AddressCityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweMedical Council No. (Optional)Registration Category - Select -Consultant – Residential PackageResident / Student – Residential PackageNon - Residential Registration PackageSelect Residential Category (Including GST)- Select -Resident / Student INR 20,000 + 18% GST = INR 23,600Consultant INR 30,000 + 18% GST = INR 35,400Select Residential Category (Including GST)- Select -Twin Sharing (Per Person) – 4 Star Category Hotel or Similar INR 31,000 + 18% GST = INR 36,580Check In Date- Select -22nd January 202723rd January 2027Check Out Date- Select -25th January 202726th January 2027Are you an IAAPS Member? - Select -Yes, I am an IAAPS MemberNo, I am not an IAAPS MemberIAAPS Membership No (for members only) We will verify this numberSelect Residential Category (Including GST)- Select -Single Occupancy – Novotel Hyderabad (Venue) INR 76,000 + (18%GST) = INR 89,680Twin Sharing (Per Person) – Novotel Hyderabad (Venue) INR 50,000 + 18% GST =INR 59,000Delegate with One Accompanying Person – Novotel Hyderabad (Venue) INR 91,000 + 18% GST =INR 1,07,380Accompanying PersonCheck In Date- Select -22nd January 202723rd January 2027Check Out Date- Select -25th January 202726th January 2027Select Residential Category (Including GST)- Select -Single Occupancy – Novotel Hyderabad (Venue) INR 81,000 + 18% GST =INR 95,580Twin Sharing (Per Person) – Novotel Hyderabad (Venue) INR 64,000 + 18% GST = INR 75,520Delegate with One Accompanying Person – Novotel Hyderabad (Venue) INR 96,000 + 18% GST =INR 1,13,280Check In Date- Select -22nd January 202723rd January 2027Check Out Date- Select -25th January 202726th January 2027Payment Mode- Select -UPIBank TransferCard Bank Details Bank Name Canara Bank A/C Name The Presentations A/C Number 625201002519 Branch Balanagar IFSC Code CNRB0000625 For payments by Credit/Debit Card: Visit our payment portal, and then kindly come back to this page to submit proof of your transaction below with this form.Total Payable AmountUpload Payment Receipt Choose File Submit Form
