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ACOIN Lucknow 2015

6th Annual Conference of ACOIN and

International Assembly of Community Ophthalmology

Registration Portal

Registration Fee

Early Bird Registration till 15th July 2015

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Registration Fee for Spouse and Children is same as Delegate

Please download and go-through the PDF of registration form carefully before filling up the online registration

Regn. Form in PDF Download             Registration Fee in PDF Download

Please fill up and submit this online application form along with payment details

Payment Options:

There are 5 (Five) options for the payment of subscription of membership as mentioned below.

Please decide the method of application for membership and choose the option of payment accordingly.

Net Banking and Core Banking options:

 

1) NEFT bank transfer from any bank by using respective bank's proforma in favour of "ACOIN Life Membership Fund" account as mentioned. The UTR No. After transaction to be mailed to acoinmail@gmail.com and SMS to Dr. Swapan Samanta, Hony. Secretary at the mobile no: +91 9434023759.

 

2) Internet Bank transfer in favour of the "ACOIN Life Membership Fund" account as mentioned. The transaction ID to be mailed to acoinmail@gmail.com and SMS to Dr. Swapan Samanta, Hony. Secretary at the mobile no: +91 9434023759

 

3) Direct cash or cheque may be deposited in any branch of SBI in favour of the "ACOIN Life Membership Fund" account as mentioned and the receipt may be scanned or photographed by smart phone and sent by message to +91 9434023759 or E-mail to acoinmail@gmail.com.

 

The confirmation of membership will be intimated after verification of transaction against the respective UTR No. /  Transaction Id. No. / Scanned receipt.

 

Cheque / Draft / Cash Options

 

4) Multicity cheque or demand draft to be drawn in favour of “ACOIN Life Membership Fund” payable at "Tamluk" and sent to the office of the Hony. Secretary as mentioned in the footer of the page by India Post.

Account Paticulars of

"ACOIN Life Membership Fund"

5) Cash payment at the office of the Hony. Secretary.

Account name: ACOIN Life Membership Fund

Account No. 32202314998

BIC code: SBININBB106

IFS Code ; SBIN0008745

Name of the Bank: State Bank of India

Name of the Branch: Tamluk Railway Station Branch

Address of the Bank: Salgechia, Tamluk, Midnapore (East), West Bengal, Pin – 721636.

Branch Code No.: 8745.

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