Pharma Leadership Summit & Awards | Registration
Nomination Fee Per Category
General Fee for All Categories
35000 + Taxes(20%) = INR 42,000/-
Early Bird Nomination Fee Till 20th July
30000 + Taxes(20%) = INR 36,000/-
Note: GST 18% + (Online Bank Transfer Charges + Transfer GST charges) @ 2% = 20%
Select Category
*
Select Category
Leadership Awards
Select Subcategory
*
Select Subcategory
Nominee Name
*
Email id
*
Mobile Number
*
Organization
*
Designation
*
Speciality/Field of Work
*
Qualifications
*
Date of Birth
State
City
*
Website URL (current institution, if applicable)
Personal Linkedin URL
Key Achievements/ Awards/ Recognition Received
Research & Publication Details
Total Years of Experience in the Field
*
Attachment
(Maximum file size 2 MB in pdf or doc format)
Submit