Online registration

Venue:

Main Auditorium, Khanolkar Shodhika, Advanced Centre for Treatment, Research and Education in Cancer (ACTREC), Navi Mumbai

Conference Dates:

20/09/2025 to 21/09/2025

Title *

First Name *

Middle Name

Last Name *

Date of Birth

Department

Badge/Certificate Name * (This will be appear on certificate)

Email *

Mobile *

Organisation

Medical Council Reg. No.*

Postal Address

Postal Code

City*

Country*

Passport Number

Normal Registration

Select	Category	Early Bird Fees	Upto Date	From Date	Fees
	Registration Fee	800.00	15/09/2025	16/09/2025	1000.00
	TMC Employee Free	0.00	15/09/2025	NA

Total Cost :

Mode of Payment *

Demand Draft

Cheque

Payment Gateway

DD No.

Bank Name

Verification Code

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