SZUSICON 2026 - South Zone Urological Society of India Conference

Full Name(as required on the certificate)*

Email Id*

Mobile No.(whatsapp Number only without country code)*

Gender*

Category *

Institute*

Country*

Address*

City

State*

Medical Council Registration Number*

Meal preference*

Do you want to register Accompany? *

Do you want attend Workshop? *

Payment Mode*

Amount*

Bank Details:
Account Name: SZUSICON MANGALURU
Account No: 110247696480
IFSC Code: CNRB0008633
Bank Name: Canara Bank

UTR Id / Transaction Id.*

Transaction Date *

Upload Payment Receipt *

Registration Form Closed