REGISTRATION DETAILS
| EVENT NAME | AMOUNT |
| CME Only | Rs.3,000/- |
| CME + Instructional Course (any 1) | Rs.3,500/- |
| CME + Hands on Thyroplasty | Rs.13,000/- |
| CME + Instructional Course (any 1) + Hands on Thyroplasty | Rs.13,500/- |
| MOBILE / NET BANKING DETAILS Bank Name: Indian bank Branch Name: Cuddalore Main Branch Account Name: Association of Otolaryngologists of India, Puducherry chapter Account Number: 7919669821 Account Type: Current IFSC Code: IDIB000C034 |
EVENT REGISTRATION FORM

