Registration Form

Name *

Address *

City *


Pin *

Tel. Clinic *

Res *

Mobile No. *

Email *

MMC Regd No. *

 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.