Workshop Registration Form*25 Limited Seats are Available for Workshop* Please enable JavaScript in your browser to complete this form.Personal Details Delegate Name Prof/Dr. *S/O, W/O, D/O *Date of Birth *Sex *MaleFemaleMobile No *Email * Address *Professional DetailsQualification *Position *Name of the Institute *Institute Address & Contact No. *PMC Registration No: *Member of any Cardiac Association?YesNoMembership Number *I agree that all above information given by me is correct and confirm that I will attend the workshop related to CME on Heart Failure in Amritsar on 2nd March 2025.Submit
