WHS Regional Meeting 2025 | New Delhi India

Registration Form

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Last Page
Step 1 : Choose Registration Type
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The fees listed above are early bird prices, available only until January 31, 2025.
Step 2 : Personal Information
Highest Qualification *
First Name *
Last Name *
Date of Birth *
Email ID *
Code *
Primary Phone Number *
Code
Alternate Phone Number
Pronouns
Add Custom Pronoun
LinkedIn Profile URL
Step 3 : Address information
Street Address *
City *
Country *
State *
Postal Code *
Step 4 : Institutional Information
Name of Organization *
Sector Affiliation
Your Designation
Name of Institute *
Program
Organization Address
Organization City
Organization State
Organization Postal Code
Organization Country
Upload Id Card *
Maximum file size: 5 MB
Upload your Id Card in jpg or pdf format.