Interim Skull Base Meeting Registration Form

Registration

Category	Till 20^th Apr. 2025	Till 31^st May 2025	1^st Jun. Onwards and Spot
Endoskullbase Workshop Hands-on + *#THE SKULL BASE COURSE*	Contact : Organising Committee @ interimskullbasebhopal@gmail.com / 9425009545
Endoskullbase Workshop Observer + *#THE SKULL BASE COURSE*	₹ 12000	₹ 14000	₹ 16000
Microvascular Anastomosis / EC-IC bypass Workshop Hands-on + *#THE SKULL BASE COURSE*	₹ 15000	₹ 18000	-
Microvascular Anastomosis / EC-IC bypass Workshop Observer + *#THE SKULL BASE COURSE*	₹ 12000	₹ 14000	-
Only *#THE SKULL BASE COURSE*	₹ 10000	₹ 11000	₹ 12000

Category	Till 20^th Apr. 2025	Till 31^st May 2025	1^st Jun. Onwards and Spot
Endoskullbase Workshop Hands-on + *#THE SKULL BASE COURSE*	Contact : Organising Committee @ interimskullbasebhopal@gmail.com / 9425009545
Endoskullbase Workshop Observer + *#THE SKULL BASE COURSE*	₹ 9000	₹ 11000	₹ 13000
Microvascular Anastomosis / EC-IC bypass Workshop Hands-on + *#THE SKULL BASE COURSE*	₹ 11000	₹ 14000	-
Microvascular Anastomosis / EC-IC bypass Workshop Observer + *#THE SKULL BASE COURSE*	₹ 9000	₹ 11000	-
Only *#THE SKULL BASE COURSE*	₹ 7000	₹ 8000	₹ 9000

Accommodation
Fern Residency/Aditya Grand or similar Three Star Hotel	Single Occupancy *(Rate Per Night)	₹ 5500
Fern Residency/Aditya Grand or similar Three Star Hotel	Twin Sharing *(Rate Per Night)	₹ 3500
Radisson/Courtyard or similar Five Star Hotel	Single Occupancy *(Rate Per Night)	₹ 8000
Radisson/Courtyard or similar Five Star Hotel	Twin Sharing *(Rate Per Night)	₹ 5000

*NOTE:
1. Accomodation and workshop registration is subject to availability due to limited slots
2. Cancellation policy – 50% till 15 April 2025. No refund after 15th April 2025.

Check In Date :

Check Out Date :

Nights :

Upload Student Certificate / College ID Card (only image file upto 2 MB)*

Rs 0/-
GST Extra

For any query related to registration, contact (M): 84016 87002.