Online Registration		  
 
Request you to register yourself online by filling up the details given below. You will be contacted shortly for completing the formalities :

  
 
Name * :
Address :
Pincode :
Landline No. * :
M*
Email * :
Educational Qualification :
Present Designation :
Date of Workshop :
Registration fees Details :
Food Preference :
   

Bank Details

Option 1

Name of the Beneficiary LIFESUPPORTERS MEDICAL ACADEMY PVT. LTD.
Name of the Bank HDFC BANK LTD.
Branch Kalanagar, Bandra East
NEFT IFSC Code  HDFC0000835
RTGS IFSC Code  HDFC0000835
Account No. 0835 232 0000 500
MICR Code 400240092