Conference Delegate Registration

Conference Delegate Fee
For Students	Free
For Pharmexcil Members	INR 1,000/- Per Person
For Other Delegates	INR 2,500/- Per Person	US$ 100 Per Person (For Overseas Delegates)
@18% GST Extra Kindly send proof of delegate fee + 18%GST paid mentioning Transaction ID, date and time of payment by email to For payment details, Please Click Here

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Contact Information

*You Are a Student/ Pharmexcil Member/ Others

*If Student: Kindly specify your University/Institute, course and year

*If Pharmexcil member: Kindly specify your membership number

*Title

*First Name

*Last Name

*Designation

*Company Name

*Address Line 1

Address Line 2

*City

*Pin/Zip Code

*State

*Country

Telephone

Country Code

Area Code

Phone Number

Fax

Country Code

Area Code

Fax Number

*Mobile

Country Code

Mobile Number

*E-Mail

Alternate Email

Website

Passport Information

*Full Name (As in Passport)

*Date of Birth

*Nationality

*Passport Number

*Passport Issued by Country

*Passport Issue Date

*Passport Expiry Date

*I have carefully read and understood the Terms & Conditions.

For your convenience, kindly carry the following print-outs at the venue-

Your Registration form before submission.
Registration submission auto generated email received by you.
Proof of Delegate Fee +18% GST paid mentioning transaction ID, date and time of payment.

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