Register - Mid-Term IASSACON 2026

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Select Registration Category

Choose the category that best describes you

Early Bird Pricing

IASSA Member

For IASSA registered members

₹7,000

✓ Conference Kit ✓ Lunch & Refreshments ✓ Certificate ✓ Access to all sessions

Required Documents:

** IASSA Membership Card/Certificate

Early Bird Pricing

PG Student

For postgraduate medical students

₹4,500

✓ Conference Kit ✓ Lunch & Refreshments ✓ Certificate ✓ Access to all session

Required Documents:

** Valid Medical College Identity Card

Early Bird Pricing

Non-IASSA Member

For non-IASSA medical professionals

₹8,000

✓ Conference Kit ✓ Lunch & Refreshments ✓ Certificate ✓ Access to all sessions

IASSA Membership Number *

Name of Medical College *

Required Documents:

** Valid Medical College Identity Card — Must be presented at the time of entry for verification.

Personal Information

Please provide your details for registration

Title

First Name *

Last Name *

Email *

Phone Number *

WhatsApp Number

Medical Council State *

Medical Council Reg. No. *

Organization / Hospital

Department

Designation

Specialization *

Address for Correspondence *

City *

State *

Order Summary

Attendee Details

Name:

Email:

Phone:

Category:

Medical Council:

Reg. No:

IASSA No:

Medical College:

Organization:

Department:

Designation:

Specialization:

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Price Breakdown

Registration Fee ₹

-₹

Coupon Discount -₹

Total ₹

Amount to Pay

₹

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Account No.

IFSC

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