Registration Form Name * Address * City * State* Pin * Tel. Clinic * Res * Mobile No. * Email * MMC Regd No. * Consultant PG Student (PG Students Should inclose Certificate or Letter from the HOD) Category Consultant PG Student Early Bird Till 31st Dec 2017 Rs. 3,000 Rs. 2,000 1st Jan 2018 - 28th Feb 2018 Rs. 3,500 Rs. 2,500 1st March 2018 - 28th April 2018 Rs. 4,000 Rs. 3,000 Payment Details DD/ Cheque should be in favour of "M/S National Institute of Ophthalmology, A/c CME Conference" payable at Pune. Please add Rs 100 for outstation cheques – P.G. Students to attach a letter from HOD. Rupee (In word) * D. D. /Cheque * Date * Bank * For Online registration :– Click Here For spot registration :– Conference kits is subject to availability. Cancellation Policy :- For all requests for cancellation of registration received on or before 15th March 2018, 75% of the registration amount will be refunded one month after the conference. No cancellation requests will be accept there after. Kindly note :- As per MMC guidelines no certificates will be issued to Delegates & Faculty who have attended the conference but not signed the MMC attendance sheet. Please note :- Request you to kindly send us the Cheque on below given Secretariat & Mailing Address, registration confirmation will only be sent after receiving the Cheque.