ILES Reg form

Registration

You can either register online with the below form with the required transaction details

OR

Print the registration form ILES registration form and send by post with the Demand Draft/ Copy of the bank transfer slip.

Name :
Sex :

Age :

Specialist:

Gynecologist Surgeon

Address :

Mobile :
Residence
Office:
Email :
Diet :

Bank transaction ID/number :

Conference Secretariat

Paul’s Hospital
Vattekkattu Road
Kaloor, Kochi-682017, Kerala, India
Tel : 0484 2344446, 2344447
Email: iles@paulshospital.com
Contact : Dr Gunjan/ Dr Santwan/ Dr Geetha
Mob: +91 90619 82256, +91 85898 92106

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ILES Reg form

Registration

You can either register online with the below form with the required transaction details

OR

Print the registration form ILES registration form and send by post with the Demand Draft/ Copy of the bank transfer slip.

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