Registration Form

Name
Address
Phone/Fax
Email
Profession/Designation
Education
Name & Address of Sponsoring Organization (if any):
Experience in the field (HIV/AIDS/SIDDHA)
Food preferred   Veg Accoomodation   AC	Non-Veg Non-AC
Other Details
Payment Mode	(Cheque/DD/Bank Transfer)
Cheque/DD No

What is Siddha?
Registration Fee