Conference

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General Information

Name:*

Institute/ Hospital:*

Postal Address:

City:*

Pin Code:*

State:*

Country:*

Email ID:*

Residence Tel. (with area code):

Office Tel. (with area code):

Mobile: *

Fax:

Registration type

Registration Type:*

Category Type:*

Registration For :*

Registration Amount:

Name of the participant with whom you would like to share a room:

(In case you opt for twin sharing residential registration)

Accompanying Persons Name 1:

Accompanying Persons Name 2:

Meal Preference :

Vegetarian Non-Vegetarian

All future communications will be through email and SMS.

Mode Of payment

Mode of Payment:*

* Online Payment/ Electronic Funds Transfer would levy 2% bank charges

Cheque/ DD Favouring ‘Spinal Cord Society’ payable at New Delhi.

Note: Airport transfers are not included in the package.

Please send duly filled registration forms along with DD/Cheque to:

Conference Secretariat, ISSICON- 2017
C/o Indian Spinal Injuries Centre
Sector-C, Vasant Kunj-110070
New Delhi, India, Tel: 011-42255356, 42255243

Contact Us

Organising Secretary
Indian Spinal Injuries Centre,
Sector-C, Vasant Kunj, New Delhi – 110070
Ph: 011-42255 356 / 243
Mobile: +91-9810054854 Fax: 011- 2689 8810
Email: issicon@isiconline.org

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