RGISTRATION FORM FOR DELEGATES

Are you the member of SAARC AAD
If yes please provide your reference number
SAARC AAD Existing Member Early Bird 15.09.2017 Last Date 15.11.2017 On Spot
International Psoriasis Congress
SAARC AAD New M. Early Bird 15.09.2017 Last Date 15.11.2017 On Spot
International Psoriasis Congress
Provisional Member Early Bird 15.09.2017 Last Date 15.11.2017 On Spot
International Psoriasis Congress
International Delegates Early Bird 15.09.2017 Last Date 15.11.2017 On Spot
International Psoriasis Congress
Accompanying Delegates Early Bird 15.09.2017 Last Date 15.11.2017 On Spot
International Psoriasis Congress

I declare that I have read all the details of the DICD constitution, Bylaws, DICD rules & regulations, code of ethics and professional conduct and resolve to abide by them. I am not the member of any association functioning parallel to DICD (This does not include speciality societies.) in my area & have not been convicted by any court of law. I am not engaged in any activity detrimental to the interest of any association. I solemnly declare that the contents of this application form are correct to the best of my knowledge and information. I agree that if anything contained herein is found to be false, my membership of DICD is liable to be cancelled immediately.