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

The details of online abstract submission will be communicated shortly.
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 *