Symposium Registration

Please fill out the details below to secure your seat.

Payment Details

Account Title

GEN ADMNTN WELF

Bank Name

Habib Bank Limited

IBAN Number (PKR)

PK75 HABB 0000650004363401

Branch

J.P.M.C., Karachi Rafiq Shah Road, Karachi

Secure Form * Mandatory Fields

Personal Information

Full Name *

S/O, D/O *

CNIC No *

PMDC No *

Professional Details

Qualification *

Designation *

Institute / Hospital *

Contact Information

Postal Address *

City *

Country *

Email Address *

Contact Number *

Payment Proof

Please upload a clear image/scan of the deposit slip or invoice.