Skip to content
TOP MENU
PHONE NUMBER :
+91 9922 050 131
EMAIL ADDRESS :
masicon2025@gmail.com
Venue Location :
Hotel Sayaji Kolhapur
Primary Menu
HOME
About MASICON
Welcome Message
Organising Committee
ASI Leadership
MASI Executive Committee Members
Kolhapur Surgical Society
About Kolhapur
Places to Visit
Kolhapur Popular Food
Scientific Programme
Registration
Registration Information
Cancellation & Refund Policy
Terms and Conditions
Abstract Submission
Industry Appeal Letter
Stall Layout
MASICON Brochure
Download
Registration Form
Contact
Register Now
Search for:
Register Now
PHONE NUMBER :
+91 9922 050 131
EMAIL ADDRESS :
masicon2025@gmail.com
Venue Location :
Hotel Sayaji Kolhapur
Registration Form
Registration Type
*
Non-Residential
Residential
Registration as:
*
ASI Member
( ₹12500/-)
Non ASI Member
( ₹13500/-)
PG Student
( ₹8500/-)
Salutation*
Dr.
Prof.
Full Name
*
Gender
Male
Female
WhatsApp number
*
Email
*
Address
*
ASI Number
*
Institute /Hospital Name
*
Select State
*
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
City
*
Pin Code
*
Medical Council Registration Number
*
Do You Have Accompanying Person
*
No
I have 1 Accompanying person
I have 2 Accompanying persons
I have 3 Accompanying persons
Fullname of accompanying person (1)
Fullname of accompanying person (2)
Fullname of accompanying person (3)
Residential Package
Single
Twin Sharing
Package
*
3 night 4 days
4 night 5 days
Hotel Category
*
Hotel Deluxe
Hotel Premium
Hotel Luxury
Select Check In Date
*
05-02-2025
06-02-2025
07-02-2025
08-02-2025
09-02-2025
Select Check Out Date
06-02-2025
07-02-2025
08-02-2025
09-02-2025
*Total amount includes Registration charges + accommodation charges
New Total amount to pay (INR)
Pay Now
Secured by Razorpay