Public Awareness / Social Outreach
ESA FINANCIAL ADVISORY
WORLDANAESTHESIA DAY
Upload your photo.
Upload a clear and simple picture with uncluttered background as JPEG, JPG, PNG not exceeding 20MB. Avoid uploading picture with Coolers, Hats, etc.
Enter your full name.
Specify your gender.
Enter a valid date of birth. e.g. 31/12/1990.
Choose your current position.
Enter the course name.
Enter the institution name.
Upload the proof of graduation.
Attach a declaration from the institution duly signed by the HOD. Allowed file formats PDF, DOC, DOCX, PAGES, JPEG, JPG, PNG not exceeding 20MB
Enter your designation.
Enter your current place of work.
Choose your working country.
Select your country.
Choose whether are you an ISA or non ISA Member.
Enter your ISA number.
Select your ISA city branch.
Select your ISA registered state.
Choose your registered council state.
Enter your TNMC reg. number.
Select your registered council state.
Enter your council register number.
Choose the attendee type.
Select your role.
Upload a valid PPT self intro file.
Choose whether you are interested in workshop.
Select a workshop to attend.
Choose whether you would like to attend the session.
Choose your food preference.
Enter a WhatsApp/Phone number.
Enter an valid email address.
Enter a valid address.
Choose whether you would like to bring someone.
Enter person 1 name.
Enter a valid age for person 1.
Choose your relationship with person 1.
How the accompanying person 1 is related to you?
Choose food preference for person 1.
Choose the food preference of accompanying person 1
Enter person 2 name.
Enter a valid age for person 2.
Choose your relationship with person 2.
How the accompanying person 2 is related to you?
Choose food preference for person 2.
Choose the food preference of accompanying person 2
Enter person 3 name.
Enter a valid age for person 3.
Choose your relationship with person 3.
How the accompanying person 3 is related to you?
Choose food preference for person 3.
Choose the food preference of accompanying person 3
Enter a valid transaction Id.
Enter the transaction Id. Your registration will be confirmed post verification
Upload the transfer screenshot.
Attach the proof of payment transaction (Screenshot) as PDF, JPEG, JPG, PNG not exceeding 20MB. Your registration will be confirmed post verification
