Event Registration

Your Full Name *

Your Email *

Phone *

Affiliation/ Hospital *

What events will you be attending?

Conference Day1

Conference Day2

Post Conference Workshop

Registration *

Will you be requiring accommodations (Self Pay) *

Yes

Will you require transport services to and from hotel/airport? (Self Pay) * *

Yes

Payment for registration (QR Code)

Himalayan bank Ltd Maharajgunj

For esewa payment

Photo of payment receipt *