Registration
Quick Registration for Simon Members

First Name *

Middle Name

Last Name *

NMC No

Address

Mobile No. *

Email *

Organization

Designation


Conference Registrations Early Bird
(till Jan 31, 2018)
Normal & On-site
(Feb 1, 2018)
SIMON members and Residents* NPR. 4000 NPR. 5000
SIMON Non Members* NPR. 5000 NPR. 6000
SAARC Countries USD 100 USD 120
Non SAARC Countries USD 150 USD 175

Do you have accompanying person?

Accompanying Name :


Note:
*Accompanying Person: NPR. 2000
Registration Fee doesn't include accommodation
Bonafide Certificate required for Resident Doctors