CIDSCON 2025

Prefix :

Name as to appear on the certificate :

Mobile Number :

Email :

Gender :

Hospital / Institution name :

Postal Address :

City :

State :

Country :

Pincode :

Department :

Designation :

State Medical Council Reg No. :

Medical Council :

Registration Type :

Select this option if you wish to register for workshop

CIDS membership Number :

Food Preferences :

Workshop Registration :

Any One Workshop :

Amount :

INR