Event Registration 3rd Annual Conference 2020

First Name^*

Last Name^*

Designation^*

Hospital/Institution^*

Country^*

City^*

Mobile^*

Email ^*

PMDC Number(If any)^*

National Identity Card (NIC)

What Days will you Attend^*
Day 1Day 2

Registration Fee^*
Consultant & GP'SPG'S & TraineesStudentsOther:

Live Endoscopy Demonstration & Hands on Workshop^*
Lectureonly

Please Bring your Original Payment Receipt on the Conference Day

PAK GI & LIVER DISEASES SOCIETY NATIONAL BANK OF PAKISTAN, TARIQ ROAD BRANCH

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Bank Account Details