You are advised to fill up the form carefully

If you've already registered click to Update Payment details

Fees :
Delegate Registration: ₹ 599/- per person (Includes Delegate Kit & Participation Cert.)
Food: ₹ 499/- per person per day (Breakfast, Lunch and Evening Snacks Only).
If you have any questions or encounter any problem during filling the form, please email us : oscar.aismit@gmail.com

Email : *

Callsign : * -- Select a Option -- SWL Have a License

Name : *

Handle/Name To Be Printed On Id :

Phone Number : *

Is Whatsapp Number Same :
WhatsApp Yes
No
Whatsapp Number : Address : *

State/Union Territory * Select State/Union Territory Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman and Nicobar Islands Chandigarh Dadra and Nagar Haveli Daman and Diu The Government of NCT of Delhi Jammu & Kashmir Ladakh Lakshadweep Puducherry City : *

Pincode : *

Sex : -- Select an option -- Male Female Others DO YOU WANT TO BOOK MEAL

Note : Meal is ₹499 (Per Day)

I Don't Need meals First Day Breakfast And Lunch Second Day Breakfast And Lunch Both Day Breakfast And Lunch SELECT MEAL TYPE
VEG

Sub-total :

Spouse Details (Optional)

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Email:

Callsign : -- Select a Option -- SWL Have a License Spouse Name:

Phone Number :

DO YOU WANT TO BOOK MEAL

Note : Meal is ₹499 (Per Day)

I Don't Need meals First Day Breakfast And Lunch Second Day Breakfast And Lunch Both Day Breakfast And Lunch SELECT MEAL TYPE
VEG
Check if Spouse want to Register as Delegate :

0

0

Sub-total : 0

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Mode of Transport : -- Select mode of transport -- AIR RAIL ROAD - Public Transport Other Date of Arrival:

Total Payable Amount :

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