MVT - Summit Registration Form for NABH Accredited Hospitals
1. Hospital Details
Name of the Hospital
*
2. Contact Details
Postal Address
*
Telephone No.
*
Website
Email
*
3. Details of Participants
Participant - I
Name
*
Designation
*
Department/Speciality
*
Mobile Number
*
Participant - II
Name
*
Designation
*
Department/Speciality
*
Mobile Number
*
Note :
Please Pay Rs.15000/- (Including GST) as Registration Fee to the following Bank Account
Account Details
A/C Name: TAMIL Nadu Medical and Wellness Tourism Summit 2025 A/C No: 1158197000000031 IFSC Code: KVBL0001158 Bank Name: The Karur Vysya Bank Limited Branch: Triplicane, Chennai
Note :
Once Payment is made, please send the transaction details to the following email id without fail
tnmedicaltourism@gmail.com
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SUBMIT