Download Conference Registration Form

To Register for conference, download below given registration form in PDF format, Print the form, Fill it up completely & duly signed and Send us at the below given address along with the payment details and online registration ID (Online registration is mandatory along with this form)-

Download Registration Form (PDF)

Mailing Address:

Department of Anaesthesiology & Critical Care,
King George's Medical University, Lucknow - 226003

Bank Account Details

Account Name: CZUPISACON-2017
Account Number: 50375367834
IFS Code: ALLA0211028
Allahabad Bank, KGMU branch, Lucknow

Cheque or D/D to be made in favor of CZUPISACON-2017 payable at Lucknow