Conference Registration For IAPMR Members
Personal Information
Full Name:
Title:
Dr.
Prof.
Mr.
Ms.
Gender:
Male
Female
Other
Affiliation/Institution:
Department:
Designation/Position:
Address Information
Street Address:
City:
State/Province:
Postal/Zip Code:
Country:
Contact Information
Email Address:
Phone Number (with country code):
IAPMR Membership Details
Membership Number of IAPMR:
Name of the Medical Council:
State in Which Registered:
Medical Council Registration Number:
Date of Registration:
Workshop Details
If you plan to attend workshops, please select a minimum of 2 workshops [4000 INR for 2 workshops & 2000 INR for additional workshop + GST]
Not Opting any Workshops:
No Workshops
Workshop Set 1: Timings 9 AM to 11 AM
Aphasia Rehabilitation
Cognitive Rehabilitation
Workshop Set 2: Timings 11:15 AM to 1:15 PM
Research Methodology
Botulinum Toxin in Upper Extremity
Workshop Set 3: Timings 2:15 PM to 4:15 PM
Repetitive Transcranial Magnetic Stimulation
Botulinum Toxin in Lower Extremity
Workshop Set 4: Timings 4:30 PM to 6:30 PM
Multi-sensory stimulation & Tracheostomy care
Disability Assessment
I agree to the terms and conditions above.
Submit & Proceed to Pay