Alpha EART

Registration Norms

For Indian Nationals

For Conference Registration at any of the Locations (Delhi or Chennai or Mumbai) the registration fees is Rs. 2500/-.

For “Hands on Workshop for Embryology” at Mumbai location, 17th sept the fees are Rs. 15000/-.

Avail “Alpha – Scientist in reproductive medicines” annual membership at Rs. 5000/- & get all matters related Alpha at RBMonline for free.

All payments have to be sent by DD/Cheque favoring “Alpha EART Workshop 2011” payable at Mumbai.

For Foreign Delegates

For Conference Registration at any of the Locations the registration fees is USD 200

For “Hands on Workshop for Embryology” at Mumbai location, the fees are USD 400

All payments have to be sent favoring “Alpha EART Workshop 2011” payable at Mumbai.

Bank Details:
Bank Name:- State Bank Of India
Branch Name:- Commercial Branch, Vile Parle East, Mumbai
Bank A/c No.:- 31786265418
Swift Code :- SBININBB356

Grab the scope of participation

Registration Form

First Name *

Last Name *

Gender *

Date of Birth *

Nationality *

Area of Work *

Address *

City *

Pin *

State *

Country *

Telephone (O)

Telephone(R)

Mobile *

Email *

Venue *

Date *

I would like to attend the Embryology Workshop at Mumbai on 17th Sept 2011
Note: Fees for Embroyogy workshop at Mumbai is Rs. 15,000/-
I would like to Avail “Alpha – Scientist in reproductive medicines” annual
membership at Rs. 5000/- & get all matters related Alpha at RBMonline for free.

DD / Cheque No.

Amount

I would like to attend the Embryology Workshop at Mumbai on 17th Sept 2011
Note: Fees for Embroyogy workshop at Mumbai is USD 400

Mode of Payment

Wire Transfer

On the Spot Payment
(I here by declare that payment will be done at the time
of event)

Amount (USD)