Registration Form

Participant (Delegate) Information

Name

Email

Phone number

Name

Professional Details

Organization / Institution Name

Designation / Job Title

Professional Category

Student registartion form (Must have to upload Institutional student ID card in next section)

Students not having Instituional ID card have to submit delegate registration form

Have you submitted your abstract?

Provide Title of your abstract

Years of Experience

Registration Category

Select Registration Type

Participation mode

Virtual (online)

Conference Interest & Tracks

Tracks of Interest (Select all that apply)

Global Regulatory Harmonization Risk Management & Benefit–Risk Evaluation Signal Detection, Data Analytics & RWE Pharmacovigilance Inspections, Audits & Compliance Digital & Future Pharmacovigilance Patient-Centric & Public Health Pharmacovigilance Others(No preference)

Payment Information

Please make a payment of $10 USD towards registration fee. For Delegates from India an alternate method of G-pay is available. Please scan the QR code below and complete the transaction (Rs. 900/- INR) and then upload the screenshot of your transaction details below.

Link for payment by delegates

Upload the transaction details/ screenshot/ payment receipt

Drag and drop or click to select a file.

Consent & Declaration

Registration Form

Thank you for your registration.

Organizing Team