SNVICON Workshop Registration

Salutation *

First Name *

Last Name *

Email *

Mobile *

State Council Number *

Select Workshop *

Amount

Entity Name: STROKE AND INTERVENTIONAL NEUROSCIENCES

Account Number: 0053457745

IFSC Code: KKBK0001835

Branch: KOTAK MAHINDRA BANK, NAGPUR

UPI / Google Pay / PhonePe

Payment Mode *

Transaction ID *