Registration Fee PaymentBack to Dashboard

Enter 4 Other participants details.

STEP 3: Details of Payment

STEP 4: Mode of payment

Total Amount Payable:

Mode of payment

--Select Mode of Payment-- Online Payment NEFT / Bank Transfer / IMPS / RTGS QR Code

Account Name :	ENT Surgery & Research
Account Number :	12102191010198
Bank Name :	Punjab National Bank
Branch Address	Gurgaon - Sector-15-II Gurgaon Haryana
IFSC Code	PUNB0121010

NEFT Date

NEFT Transaction ID

Bank Name

QR Date

QR Transaction ID

Bank Name

In favor of: Cheque / DD will be courier to :

Dreamz Conference Management Pvt.Ltd 218 Ansal Majestic Tower, Vikas Puri, New Delhi - 110018 Whatapp on : +91 9810558569

Bank Name

DD/Cheque No.

DD/Cheque Date