NSNC 2023 Registration – National Surgical Nursing Conference, 2023

Select Title*

Name to be printed as in the Certificate*

Qualification*

GNM BSc MSc PhD

Delegate Category*

Nurses and Faculty (INR: 700.00) PG Students (INR: 200.00)

RN Reg.Number

RM Reg.Number

Name of the Institution Studying/Working*

If you are working in CMC, enter Employee Number; If not enter NO*

Address for Communication*

City*

State*

Country*

Contact No*

EMail Address*

Food Preference*

Vegetarian

Non-Vegetarian

Note: Kindly attach a proof for online transaction. Only the attachment with transaction ID will be considered for the approval of registration. Make sure it is NOT more than 350KB.

Payment Ref.No*

Date*

Amount*

Currency

Upload Proof of Payment*

I hereby declare that the information provided above is true, complete, and correct to the best of my knowledge and belief; I accept and agree to the Terms & Conditions of the National Surgical Nursing Conference, 2023 - 2022.