6th Congress of Asian Paciﬁc Federation ofSocieties for Reconstructive Microsurgery

APFSRM 2024

8th-10th March

16th Biennial Conference of Indian Society for
Reconstructive Microsurgery

ISRM 2024thTheme:
C&E - Collaborate& Excel

The Leela Ambience Hotel & Residences
Gurugram, New Delhi, India

7 MarchRegistration Form
ISRM Membership No:

DETAILS
Title: Prof.

Dr.

Ms.

Mr.

Mrs.

First Name

Gender: MaleFemale

Last Name

Institution / Aﬃliation:
Address:
Country:

City:

State:

Mobile No. with Country Code:

Category

Consultant / Surgeon/ PG Student

Pin:

Email:

Only One Day ISRM Registration | 7th March, 2024(*All Fields are Mandatory)

Early Bird Till
10 December, 2023

Regular Fees Fromth11 December, 2023
thTill 15 January, 2024

Onspot Fees
From 4th March, 2024

INR 5900/-

INR 7080/-

INR 8260/-

INR 9440/-(5000+900)(6000+1080)(7000+1260)(8000+1440)

18% GST

18% GST

18% GST

Last Call From
16th January, 2024
Till 3rd March, 2024

Onspot Fees
From 4th March, 2024th

18% GST

Last Call From
16th January, 2024
Till 3rd March, 2024

Conference Registration Fees
(7th, 8th, 9th & 10th March, 2024)
Category

ISRM Members

Early Bird Till
10 December, 2023
thRegular Fees From
11th December, 2023
thTill 15 January, 2024

INR 29500/-

INR 35400/-

INR 41300/-

INR 47200/-(25000+4500)(30000+5400)(35000+6300)(40000+7200)

18% GST

18% GST

18% GST

18% GST

Consultant / Surgeon

INR 35400/-

INR 41300/-

INR 47200/-

INR 59000/-(Indian / Overseas)(30000+5400)(35000+6300)(40000+7200)(50000+9000)

18% GST

18% GST

18% GST

18% GST

PG Student

INR 21240/(18000+3240)
18% GST

Accompanying Person

INR 21240/(18000+3240)
18% GST

Note : PG Students should provide the certi icate from HOD or the Head of Institute
Registered Accompanying Person is entitled for Food Coupons only.

Mode of Payment
Draft / Cheque To be made in favor of “Conferences International” payable at New Delhi
DD / Cheque No. / Cash

Total AmountBank Transfer Details

To Register Online
Scan QR

Account Name: Conferences International
Account No.: 920020017754100
Bank Name & Branch: Axis Bank Ltd, South City II
G GUR HR, Gurgaon –122018
IFSC Code: UTIB0003292
Note: Kindly email us bank deposit slip / UTR number Along withduly lled registration form once you made the payment.

Registration Fees Inclusions
Entry to Scientiﬁc Halls and Exhibition Area
Conference Kit (Including Bag , Badge, Certiﬁcate, Pad and Pen)
Certiﬁcate of Participation
Tea / Coﬀee During the Conference
Lunch on 7,8,9 & 10 March & Dinner 7,8 & 9 Marchor Visitwww.apfsrm2024.com

Ofine Registration Process• Bank Transfer / NEFT: Once the payment has been made, the delegate must email their registration form
along with the proof of payment to apfsrm2024@gmail.com• Cheque/ Demand Draft: Delegates must send the original cheque/ Demand Draft along with the duly ﬁlled
registration form via a reliable courier to the below mentioned conference manager’s address• Once the payment is received at our end, a formal conﬁrmation letter shall be sent to the delegate through email.
Incase you do not receive the email conﬁrming your registration within 7 days, please contact us at
apfsrm2024@gmail.com or call Mr. Vikas Sharma at +91- 9999216837

Please Send Registration Form Along With
Cheque / Draft At The Following Congress Manager’s Address
Cancellations & Refund• Cancellations Till 15th October, 2023 - 50% Refund• Cancellations will not be considered after
16th October, 2023
• All Refund Process will begin after the completionof the conference

Conference Manager’s
Vikas Sharma
Conferences International
B-220/2, Second Floor,
Opposite Kali Masjid
Savitri Nagar, New Delhi :110017
M: +91- 9999216837
Email: apfsrm2024@gmail.com

www.apfsrm2024.com