IFICS 2018

Online Registration

Personal Details

Name (as required to be printed on the certificate)
Mobile (Compulsory)
E-mail (Compulsory)
Pincode
Place

Address for Correspondence
State

All further communications will be through email & mobile via sms.

Delegate Category

National

International

PG Students

Registration Fee Details

Date	National Delegate General (INR)	International Delegate General (USD)	PG Students National(INR)
Registration Only	8500	300	6000
* For Residential package accommodation will be at Hotel Poppys adjacent to Ganga Hospital

Payment Details

Card Payment
Cheque / Draft
Bank Transfer

Demand Draft No		Dated		Bank
Wire Transfer RTGS / Acknowledgement No			Name of remitter			Date 0f transaction

Delegate Fee

Total

Offline Payment Method

OPTION 1 (by Demand Draft)

Demand Draft drawn in favour of "GANGA ORTHOPAEDIC EDUCATION FOUNDATION " payable at Coimbatore, India.

OPTION 2 (by Bank Transfer)

Name of Account	:	GANGA ORTHOPAEDIC EDUCATION FOUNDATION
Name of Bank	:	Karur Vysya Bank, Coimbatore Main Branch, Coimbatore - 641001, Tamilnadu, India.
Account Number	:	1120135000009811
Swift Code	:	KVBLINBBCBM
IFSC Code	:	KVBL0001120

You may send your payment (along with the Registration form)

Prof. S. Rajasekaran,
Course Chairman,
GANGA HOSPITAL, 313 Mettupalayam Road,
Coimbatore 641043, India
Phone : +91 422 2485000 (Ext 5015),
Fax : +91 422 2451444.
Email : ifics2018@gmail.com