Registration Form - North Eastern Diabetes Society (NEDS)

NEDS Conference Registration Portal

Enter your Mobile Number to continue an existing application or start a new registration.

Name * :

Mobile Number * :

Already a registered member? Member OTP Login

Personal Details

Personal credentials, contact info & communication address

Title * :

First Name * :

Last Name * :

Password * :

Min 8 chars 1 Uppercase 1 Number 1 Symbol (@!#)

Mobile * :

E-mail * :

Date of Birth * :

Street Address * :

Street 2 :

State * :

Town / District * :

Pin code * :

Work Phone * :

Home Phone * :

Fax :

Pan Card Number * :

Education Details

Academic qualifications and medical degree credentials

Are you a PG student? :

Yes No

Qualification * :

Please Specify Qualification * :

Degree (MBBS/MD/DM/MSc/PhD) Certificates * :

Max size: 500 KB (doc, docx, pdf, png, jpg, jpeg)

Documents Upload

Upload verified supporting certificates and photo identification

Photo (For icard & certificate) * :

Max size: 500 KB

Pan Card Scanned Copy * :

Max size: 500 KB

Copy Of Registration With The Medical Council * :

Max size: 500 KB

Confirmation Certificate duly signed by HOD (For Students only) :

Required only for PG Students (Max 500 KB)

Payment Details

Choose your preferred mode of registration fee payment & review

Payment Method :

Online ( Credit Card / Debit Card / Net Banking / Wallet) Offline NEFT/RTGS

Amount (Auto calculated) :

₹

VIEW NEDS BANK DETAILS

UPI Scan & Pay

Registration Fee: ₹ 10,000.00

Open QR

Pay Directly via UPI App: Works on mobile devices

Google Pay

PhonePe

Paytm

BHIM

Amazon Pay

Airtel

Upload Payment Screenshot / Receipt * :

Max size: 500 KB (jpg, jpeg, png, pdf)

Click Open QR above to scan & complete the payment, then upload a screenshot of your successful payment receipt.

I have scanned the QR code and completed the payment of ₹10,000 to 74894101@ubin *

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Account Name:	North Eastern Diabetes Society
Bank Name:	State Bank of India (SBI)
Account Number:	39847192847
Account Type:	Current Account
IFSC Code:	SBIN0000078
Branch:	Guwahati Main Branch, Assam

NEDS Conference Registration Portal

Personal Details

Education Details

Documents Upload

Payment Details

NEDS Official Bank Details