ONLINE REGISTRATION

Bank details for on line transaction

Account Name : INDIAN ASSOCIATION OF MEDICAL MICROBIOLOGISTS - ODISHA CHAPTER
Account number : 45093563903
IFSC Code :- SBIN0006621, Bank Name and Branch : SBI Koel Nagar Branch Rourkela

Conference registration is mandatory for Workshop registration.

'*' Marks fields are Mandatory, || Please pay the registration fees before filling out the registration form.
1. Select Event *  
2. Select Participant Categorie *  
3. Name of Delegate*  
4. Designation *  
5. Affiliated Institution *  
6. Address *
7. Medical Council Registration No *
8. IAMM (OC) Registration No 
9. Email ID *  
10. Mobile No *    (Please do not prefix 0, +91)
11. Number of accompanying persons *
12. Registration Charges paid
(including Associate Delegate)*
13. Payment Reference Number *  
14. Upload Screenshot or JPG/JPEG/Pdf Photo of Transaction Details (100 kb) *
15. Upload Studentship Certificate from HOD (for PG Students only) in JPG/JPEG/Pdf format (100 kb) 
16. Upload Recent Passport Size Photo in JPG/JPEG format (100 kb) *
17. Food Preference *