33rd Annual Conference of
The Indian Academy of Neurology

Date: 28th Oct 2026 - 01th Nov 2026
Venue: Jaipur, Rajasthan

Hosted by : Rajasthan Academy of Neurology

Theme : Indian Academy of Neurology

Registration Form

Full Name(as required on the certificate)*

Email Id*

Mobile No.(whatsapp Number only without country code)*

Gender*

Institute*

Country*

Address*

City

State*

Medical Council Registration Number*

Meal preference*

Category*

Do you want to register Accompany? *

Do you want attend Workshop? *

Payment Mode*

Amount*

Bank Details:
Account Name: IAN CON 2026
Account No: 361405002059
IFSC Code: ICIC0003614
Bank Name: ICICI bank
Branch Name: Shyam Nagar

UTR Id / Transaction Id.*

Transaction Date *

Upload Payment Receipt *

You must agree to the terms.