MHG Registration

Registration Form

MHG Registration (without payment integration)

Choose Conference Category

Conference Price

₹

Total

₹

Personal Details

Title

Medical Council Registration Number

Your Age

Phone/Mobile

Alternate Email

Your Full Name

MHG Membership Nos

Your Gender

Designation

Organization

Address

Address Line 1

Address Line 2

City

State

Pin Code

Country

Payment Summary

Conference Category:—

Conference Price₹ 0.00

Total Amount:₹ 0.00

Grand Total:₹ 0.00

mhg-qr

You can make a payment to above QR code, or our bank account below:

A/C Name: Mumbai Hematology Group
Bank Name: ICICI Bank
Account Type: Current
A/c Number: 003205006243
IFSC: ICIC0000032
MICR: 400229910

After you have transferred the amount, please enter the transaction details below:

Transaction ID/UTR

Choose Transaction Date

Upload transaction screenshot

Choose File