MUMBAI SHOULDER CONCLAVE 2026

Active Email Id ( All future communications will be through that email ) *

Please enter a valid email address.

Type of Package *

Please select a package type.

Student Id (If student need to upload student id)

Please Select File.

ℹ️Note: Please do not prefix "Dr." — it will be automatically added on your Badge & Certificates.

First Name *

First name is required.

Last Name *

Last name is required.

Office/Postal Address *

Postal address is required.

Pin Code *

Pin code is required.

Select State *

Please select a state.

City *

Please enter city.

Select Country *

Please select a country.

WhatsApp Mobile Number ( All future communications will be through WhatsApp and Text SMS ) *

Please enter a valid 10-digit mobile number.

Alternative Mobile Number *

Please enter a valid alternative number.

MCI/NMC/State Medical Council

Gender *

Male Female

Please select a gender.

By clicking, I consent that I have read, understood and agree Privacy Policy.

You must agree to the privacy policy.

Support Details | 📞 8275779644 | ✉️ conference@novoevents.in

Form submitted successfully!