Registration Form

First Name*:
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Last Name*:
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E-mail*:
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Personal E-mail*:
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Contact No.*:
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Registration type*:
Select an Option

Name of Academic Institute:
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Course Pursuing:
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Industry presenter Code*:
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Name of Academic Institute/Govt. Organization*:
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Organisation*:
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Price (inclusive Tax):




Transaction ID*:
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Thank you. Please transfer the amount, account details are provided below.

Contact Person:

Mr. Jagannatha P S, Mrs. Pooja Shinde,
Address: No-1588, 6th Main Road, E-Block, Rajajinagar 2nd Stage,
Bangalore - 560010
Contact Number: 9762462525 (Pooja Shinde), 9886050820 (Jagannatha P S)
Email: conspic@iasct.net

Beneficiary:

Name of the Bank: Axis Bank Ltd.,
A/C Name: M/s. INDIAN ASSOCIATION FOR STATISTICS IN CLINICAL TRIALS
Branch: Rajajinagar Branch
A/c Number: 922010036508251
IFSC Code: UTIB0000559

Note:
   1. For any questions regarding registration, kindly reach out to Jagannatha P S or Pooja Shinde
  
   2. For any questions regarding the conference, kindly reach out to Pooja Shinde
  
   3. The cheque to be drawn in the name of "M/s. INDIAN ASSOCIATION FOR STATISTICS IN CLINICAL TRIALS".
  
   4. Once you've completed the payment, kindly input your Transaction ID to complete your registration process.
  
   5. Credit card usage will incur an additional charge.
  
   6. *Registration fee for students will be refunded(excluding GST) after pre-conference workshop is completed.
  
   7. Registration fee

Registration Type Base Fee (INR) Fee with 18% GST (INR) Date Validity Audience
Pre-conference workshop - Industry 2,000.00 2,360 Closes with full seats capacity (target: 50 seats)
*Pre-conference workshop - Students 500 590 Closes with full seats capacity (target: 50 seats)
ConSPIC - Academia/Government, Industry, Student registration 8,500.00 10,030 19th May to 31st Aug Attendees + Presenters
Late registration 9,500.00 11,210 1st Sept to 12th Sept Attendees + Presenters

  
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