12th International Conference Registration - GOSICON25
Full Name
*
Qualification
*
City
*
Email
*
WhatsApp
*
State of Medical Council
Medical Council Number
GOSI Life Member
*
Yes
No
IAOS Life Member
*
Yes
No
Invited Faculty
*
Yes
No
Post Graduate Student
*
Yes
No
Come with Spouse
*
Yes
No
Spouse Name
3 Nights Accommodation
*
Yes
No
Attending Banquet
*
Yes
No
Are you presenting a paper/poster in the conference?
*
Yes
No
Do you have a coupon?
Apply
Upload Clear Face Pic
*
Upload Spouse Pic (Optional)
Total Payable Amount
Register
Terms and Conditions
Cancellation & Refund Policy
Registration Successful! Please Complete Your Payment
