Intensive Residential Clinical Skills Training Workshop In

PSYCHOSEXUAL MEDICINE

1st to 3rd of October 2024


REGISTRATION FORM


PAYMENT SHALL BE RECIVED BY

BANK NAME : STATE BANK OF INDIA

ACCOUNT NAME : KARNATAKA SEXUAL SCIENCES

ACADEMY (R)

ACCOUNT NUMBER : 38450832183

GST NUMBER : 29AADTK9027A1ZP

IFSC CODE : SBN0040249

ADDRESS: STATE BANK OF INDIA

JSS COLLEGE BRANCH,

RAMANUJA ROAD,

MYSORE 570004, KARNATAKA