ASICON 2026 8th March Workshop Registration

INTEGRATING HIV AND STI CARE INTO EVERYDAY OBGYN PRACTICE

Registration Fee: INR 1000/-

Registration Steps:-

STEP 1: Pay the Registration Fee According to your Choice Using UPI App and scan the QR Code or NEFT / RTGS / IMPS

Name of the Bank: Canara Bank
Account No :- 50132160000024
IFSC : CNRB0015013
Account name: AIDS Society of India
Address: Lamington Road Branch, Mumbai -400007

STEP 2: Take a screenshot or picture of transaction success page.

STEP 3: Fillup the form below, upload the payment screenshot / picture and submit.

STEP 5: You will receive an email with Registration ID & Submission Details.

Registration Form

Prefix

First Name *

Last Name

Medical Council No.

Gender *MaleFemale

Email Address *

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Affiliation | Institution | Clinic *

Speciality / Department *

Upload Payment Details / Screenshot / Picture *