Salutation
Full Name(as per certificate)
Email Id
Designation
Mobile No.
Institute
State
Medical Council Registration Number(MCI)
("For MBBS students/interns, please mention the MCI number as 'N/A'.")
Category
Payment Mode
Membership No.*
Amount
Bank Details: Account Name: BOOT CAMP 2025 Account No: 107911010000084 IFSC Code: UBIN0810797 Bank Name: UNION BANK OF INDIA Branch Name: Union Bank, Nims Branch, Nims Hospital, Punjagutta, Hyderabad
UTR Id / Transaction Id.*
Transaction Date *
Upload Payment Receipt *
DR. Sai Surabhi
Organizing Secretary
Address :Nizams Institute Of Medical Sciences,Punjagutta, Hyderabad, Telangana, 500082
nimsbootcamp@gmail.com
Address : Sikh Rd, Uma Nagar Colony, Sikh Village, Gunrock Enclave, Secunderabad, Telangana - 500009
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