India Rising: Patient Centric Care-Integrated Approch

8th Annual Confrence

Registration Form

(Fields Marked with (*) are mandatory! )

Male    Female

Whether member of GAPIO

Yes       No

Note: Registration is open to all registered Medical Practitioners and Health Care Providers.
Registration fee will remain same whether attending for one day or two days.

Fee payment options :


For Indians: Registration fee can be deposited directly in the account and the soft copy of the Registration form and the Bank Slip can be sent to us by Email or the registration form along with DD/ Chq in the name of "Global Association of Physicians of Indian Association" can be sent via surface mail to the below given address.

Registration will be confirmed only on receipt of the fee in theConference  account.


For NRI’s the fee will be collected in CASH (Rupees only) on spot at the Conference. However the Room and Flight bookings have to be paid for directly to avoid inconvenience. Please visit the Accommodation and Travel Page

Sponsors Application form to be sent to :

Mr. Jitendra Malik
Hospital Complex
Apollo Hospitals (IMCL)
Sarita Vihar, Delhi- Mathura Road
New Delhi - 110076
Cell: 09958767568
Bank details for Direct Deposits & Online Transfers:

Name of account: Global Association of Physicians of Indian Origin

Name of Bank: Oriental Bank of Commerce

Name of Branch: Apollo Hospitals, New Delhi, India -110076

For NEFT/ RTGS Transfer: IFSC code: ORBC0105076


Type of Account: Current Account
*Please fill up all points requested in the registration form.

Since this from is submitted online, therefore no signature is required.

Created Date


Transaction Type

Cash    Cheque

Transaction amount * Amount to be paid in INR only