REGISTRATION DETAILS

Delegate Category Registration amount (Including Service Tax)
Payment Mode:
By Cash or Chequelight_blue_tick_icon
Pay Online
Jr Residents or Post Graduate Students INR 2,500 Book Online
Senior Doctors including Senior Residents and Consultants INR 3,000 Book Online
NOTE:
light_blue_tick_icon Delegate enrolment will be strictly on first-cum-first basis.

light_blue_tick_icon Post Graduate students need to attach a proof of residency forwarded by their Department or Program Head.
# The Cheque should be issued in the name of (“THE SOURCE”) Payable in Gurgaon – NCR

Payment & Payment Options (The amount mentioned above includes Service Tax)bulletBy Cash

bulletBy Cheque

bulletBy Online transfer:

bulletNet Banking

bulletOnline transfer (through website www.dermasourceindia.com)

Address for posting Cheque and completed Registration Form:
THE SOURCE, C-2246 (Basement & Ground floor), Sushant Lok -1, “Suhridaya”, Block-C, Opposite Chiranjiv Park, Near Gold Souk Mall.
Gurgaon-122009, Haryana, India.
Net Banking Details:
By Net Banking
Beneficiary Name: THE SOURCE
Bank Name: HDFC Bank Ltd.
IFSC Code: HDFC0002686.
Branch: The Peach Tree, C-Block, Sushant Lok-1, Gurgaon
Account Number: 26862320000062
Type of Account: Current