UP PATHCON 2022
XXIXth Annual Conference of UP CHAPTER INDIAN ASSOCIATION OF PATHOLOGISTS AND MICROBIOLOGISTS
REGISTRATION FORM
Registration Form for Members
UP IAPM Membership Number
Your Name*
Your Email*
Your Mobile Number*
Your Whatsapp Number*
Your Age*
Gender* MaleFemaleOther
Designation* DeligatesPost Graduate
Institute*
Residential Address*
Co-Delegates Accompanying You:* 012345
Amount To Be Paid 0
*Disclaimer "I hereby declare that the above particulars of facts and information stated are true, correct, and complete to the best of my belief and knowledge.”
Registration Form for Non Members
Name*
Your WhatsApp Number*
Your Age
Designation* DelegatesPost Graduate
Are You Presenting* PaperPosterNone
If Yes, Please pay Associate Membership Fees Rs.1000 for 1 year.
Co-Delegates accompanying you* 012345
Amount To Be Paid: 0