Registration Form

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First Name^*

Last Name^*

Nationality^*

Organization/Institution^*

Affiliation^*

Address

Address ^*

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Email^*

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Membership Number

Registration Fees^*

For payments by Wire Transfer:

AC name: ACE SCHOOL OF SLEEP MEDICINE
AC no:1747928
Bank Name: RATNAKAR BANK
Address: HAUZ KHAS, NEW DELHI –110016
IFSC: RATN0000141
SWIFT CODE: RATNINBB

For payments by Credit/Debit Card:

Visit our payment portal, and then kindly come back to this page to submit proof of your transaction below with this form.

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Upload Payment Slip^*

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