CME Registration form

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CME Registration

Online Registration : Please make sure that you have paid Rs 2500/- (without Accomodation) registration fees and have transaction (UTR) code before submitting the online registration form *

1) Transaction ID: Pay on below mentioned account by NEFT / RTGS or any other method and get transaction ID from bank

2) Transaction Date: On which date payment done put that date

3). In house accommodation is available with advance bookings only (limited seats) with rates: INR 600/- Person/Day (Twin sharing/ Non AC room) Checkout time is 12:00 noon. Photocopy Of ID card is mandatory

4) Bank Details :

Account Name : SHRI GANAPATI NETRALAYA

Bank Name : AXIS ABNK LTD,JALNA

Account Number : 487010100012245

IFS CODE : UTIB0000487

MICR CODE : 431211052

Name
Age
Gender
PG Course Enrolled in (MS/MD/DNB/DO/FRCS) Specify
Medical College/Institute/Hospital
Medical Council Reg. No
State with which medical council registration is done
Contact Address
City and Pin Code
Email ID
Mobile / Phone Number
Transaction Details
Transaction (UTR)code  
Transaction Date