AMDISA 17th SAMF - Registration Form

Title *

Please select a title.

Full Name *

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Designation *

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Email *

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Mobile *

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Institution / Organization Details

Institution Name *

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City *

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State / Province *

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PIN / ZIP *

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Country *

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AMDISA Member? *

Yes

Role in the Conference *

Delegate (Faculty, Academicians, Industry Professionals)

Research Scholar / Student (Full-time PhD Scholars / regular Students only – valid ID required)

I wish to submit a paper

Applicable Fee: --

I accept the Terms & Conditions.