Online Registration Form

(Please type or use Block Letter)

  • Faculty Resident PG PhD MSc Student
  • APPI PSI ISCAP SAPI

  • Details of Affiliation



  • Details of Registration Fee (Demand Draft /Online)



  • Online/NEFT Payment Details


Note: Payment should be made by NEFT or Demand Draft only.

Demand Draft in Favour of ‘FIPS CONGRESS 2019’ payable at Faridabad
Transfer in name of: FIPS CONGRESS 2019

Account No. : 38238197766
Type of Account : Saving
Name of Bank : State Bank of India , ESCORTS Branch , Faridabad
IFSC Code : SBIN0050211

Registration form with scanned NEFT payment receipt (mandatorily) should be submitted by email.

Category Upto 15.08.2019 Spot Registration
Affiliated Society Members Rs. 6,000 Rs. 7,000
Accompanying Delegate Rs. 3,000 - - -
*M.D. & Ph.D Students Rs. 4,000 Rs. 6,000
*M.Sc. Students Rs. 3,000 Rs 6,000
Workshop (Members) Rs.1,500 - - -

Note: * PG students must attach forwarding letter from HOD.

For any queries, please contact:-


Conference Secretariat

Department of Physiology, ESIC Medical College & Hospital, NH-3, NIT, Faridabad-121001

Phone: +91‐129‐2985084 (Office)

Mobile No: +91‐7042918222, 9891330030, 9015216266, 9811481930

Email: fipscongress2019@gmail.com

Visit us at Website: http://www.fipscongress2019.com