Neurosurgeon Registration for the Jaipur Congress – Walter E. Dandy Neurosurgical Society

Title*
First Name*
Last Name*
Name of Institution/hospital*
City*
Country*
Email Address*
Phone number (including country code)*
Please check this box if you need us to provide a letter for your Hospital/Institution.*
Please note for your Visa application for India you may wish to obtain a Tourist Visa.The Academic/Congress Visa requires substantial more paper work.
- Yes
- No
Please select the three nights hotel stay*
Registration Fee include Plus
1) Congress Registration
2) Three Nights Stay at the The 5-Star Vijayran Royal Quest Hotel Palace or the Jaibagh Palace
3) Meals (breakfast, lunch, and dinner)
4) Admission to the Hands-On Microanastomosis Course(the number of seats are limited for the course, so it is based on first come first serve basis)
I would Like register for the Micro-anastomosis/EC-IC Bypass Course*
* Please Note: There are limited number of spots for the course. It will be first come first serve. We will do everything to accommodate, but cannot guarantee.
Total Fee:
0,00 €
Credit Card
Card Details
Cardholder Name
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