DIOH 2024 | Registration

Personal Info.

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Registration Details

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Preview

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Registration Details

Salutation

First Name

Last Name

Country

State

City

MCI / DCI Reg No.

Mobile No.

Email

Institute

Institute Name

Designation

Payment Details

Registration Catagory

Registration Fees

18% GST + 2.5% payment gateway irt taxes additional on payment

Add Accompany Person

Accompany First Name

Accompany Last Name

Accompany Mobile No.

Accompany Email

Upload Student ID Card or Letter from HOD (only image file upto 2 MB)*

Preview

Salutation :

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First Name :

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Last Name :

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Country :

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State :

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City :

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MCI Reg. No. :

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Mobile No. :

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Email :

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Institute :

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Institute Name :

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Designation :

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Registration Catagory :

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Registration Fees :

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