(* Mandatory Fields)


Full Name*
Address for Correspondence*
Land Line No.
Mobile No.*
Food Preference*
MCI Membership No.

Passport Details (Only for Foreign Delegates as per Ministry of Home Affair’s guidelines)

Passport No.*
Father’s/ Husband Name*
Place of Issue*
Date of Issue*
Date of Expiry*
Date of Birth*
Place of Birth*

Registration Fee Details

Category Early Bird
Until 20 Feb. 2018
Brisk Walker
Until 10th May 2018
After 11th May 2018
and on Spot
Indian Delegate Rs. 9440/- ( inclusive of GST* Rs.1440/-) Rs. 11800/- ( inclusive of GST* Rs.1800/-) Rs.17700/- ( inclusive of GST* Rs.2700/-)
USD 521(Rs. 33865/-) ( inclusive of GST* Rs.6096/-) USD 571( Rs.37115/-) ( inclusive of GST* Rs.6681/-) USD 645(Rs.41925/-) ( inclusive of GST *Rs.7547/-)
USD 157(Rs. 10205/-) ( inclusive of GST* Rs.1837/-) USD 187(Rs. 12155/-) ( inclusive of GST* Rs.2188/-) USD 220 (Rs.14300/-) ( inclusive of GST *Rs.2574/-)
Registration Fees Rs.
Total Fees Rs.

Registration Guidelines

  1. Above mentioned registration fee is inclusive of GST as on 1th Dec 2017. Subject to change.
  2. Online Payments (credit/debit) will be applicable to a charge of 3% on the total amount.
  3. Spot registrants will not be guaranteed with a conference kit and gift.
  4. Registration fee includes conference kit, admission to the scientific hall, trade exhibition, inaugural function, lunches and dinners.
  5. Your delegate details will be used to provide you with the registration receipt and other conference communications.
  6. Conference organisers will not be liable in any form in case of any changes in conference date/ conference venue due to unforeseen circumstances.
  7. Conference Organisers are not responsible for postal delays/ failure of delivery by post or failure of electronic communications.
  8. It is mandatory for all the delegates to carry their Photo ID(Government Approved) for identification at the conference registration desk.

Cancellation Guidelines
Before 15th April 2018 :

  1. Letter / Email request to be sent to Conference Secretariat.
  2. 75% of the registration amount will be refunded.

After 16th April 2018 : 

  1. No registration amount will be refunded.

Note: All refunds will be paid 1 month after the completion of the conference.


Dr Hema Divakar
(Organising Chairperson, SAIDIP 2018)
Divakars Speciality Hospital
#220, 9th Cross Road, Phase-2,
J P Nagar, Bengaluru, Karnataka 560078
Bengaluru, Karnataka 560078
Phone: +91 9844046724
Email: artistbengaluru@gmail.com
Website: www.saidip2018.com

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