Registration for AOA 2024 (Thursday, Aug 8th - Sunday, Aug 11th)

First Name ^*

Last Name ^*

Physician
In training: Medical Student/Resident/Fellow
Year joined AIIMS
Specialty

Spouse First Name (Please enter Spouse information only if attending the conference)

Spouse Last Name

Physician (Aiimsonian)
Physician (Non Aiimsonian)
Non Physician
Year joined AIIMS

Address Line 1^*

Country ^*

State ^*

City

Zip code ^*

Phone no.^*

Email ^*

Registration

(Early Bird Registration Rate $750.00, ends on 07/15/24. Online Rate will be $800.00 upto 08/07/24 for 2 days & $400.00 for 1 day.)

(Onsite registration (08/08/2024 onwards) will be $850.00 for 2 days & $425.00 for 1 day.)

General Information

Category	Rate	No. of Person	Total
Category : For Entire Conference (Thursday Aug 8^th-Sunday Aug 11^th, 2024) 18 years and above (Includes Physicians, Non Physicians & other AIIMSONIAN family members)	Rate $ 850.00	No. of Person	Total
Category CME Charge No. of persons requesting CME Credit Transcript	Rate $ 50.00	No. of Person	Total
Category For Friday Aug 9^th 2024 only 18 years and above (Includes Physician, Non Physician & other AIIMSONIAN family members)	Rate $ 425.00	No. of Person	Total
Category For Saturday Aug 10^th 2024 only 18 years and above (Includes Physician, Non Physician & other AIIMSONIAN family members)	Rate $ 425.00	No. of Person	Total
Category Children 4-17 years	Rate $ 375.00	No. of Person	Total
Category Children below 4 years (free)	Rate $ 0.00	No. of Person	Total
Grand Total			Grand Total

Additional Information

Total Veg

Total Non Veg

Would you like to utilize a supervised children's club with the the minimum age requirement of 3 years age (for a nominal extra fee).
Childcare for younger than 3 years old children can be discussed on a one to one basis. Please contact the local AOA committee at whatsapp +1-9192654728.

Would you like to upload a family picture?

Additional Comments

AIIMSONIANS of AMERICA

Sponsorship/Support

Registration for AOA 2024 (Thursday, Aug 8th - Sunday, Aug 11th)

Registration

General Information

Additional Information

Children Information