IPSOCON 2026

*Denotes required.

Registration Category*

IPS Membership No.*

Upload ID proof* Please Upload - pdf/jpg/png(less than 5 mb)

Title*

Full Name*

State/MCI Reg. No.*

State of Medical Council Registration*

Gender*

Date Of Birth*

Age*

Email-ID *

Mobile No. (+91) *

Designation*

Organization*

Address*

Pin Code*

Accompanying Persons ( ₹5000 Per Person )

Accompany Person 1 Name *

Age *

Accompany Person 2 Name *

Age *

Accompany Person 3 Name *

Age *

Payment Details

Important Registration Notes:

• All Rates Include 18% GST.

• Senior Citizen IPS Members (65 Years & Above) please upload/send age proof.

• Details marked with asterisks (*) are mandatory.

• If the delegate is an IPS member, kindly provide the membership number, otherwise, the registration will be considered as that of a non-IPS member.