1 Registration Category
2 Delegate Information
3 Confirm
4 Receipt

Delegate Tariff
Participant	Regular
Single Participation	INR 7,000 (Early Bird Offer)
Note: - 18% GST Applicable on all Cost

Select Industry Sector *

Specify Other Sector *

Organisation Type *

Do you have promo code? *

Yes No

Please enter Promo Code *

Provide Organisation Information

Organisation Name *
(To create invoice in the name of)

City *

Country *

Phone Number *

+Country Code-Phone Number(xxx-xxxxxxx)

Do you need a GST based Invoice? *

Organisation Details for Raising the Invoice

Invoice Address *

Organisation GST Registration No *

Organisation Pan No *

State *

Contact Person Name *

Phone No *

Email Address *

Enter text see in the image *

RJBPG

Provide Delegate Information

Number of Delegate(s) *

Delegate 1 Information

Name *

Job Title *

Email Address *

Mobile Number *

Provide Accompanying Person Information

Payment Mode *

CCAvenue Payment - Credit Card / Debit Card / Net Banking / Google pay / Phonepe / Paytm Please Note: 3% processing charges is applicable for CCAvenue payment mode.

Confirm Registration Detail

Registration Category

TIN Number	-
Sector	-
Organization Type	-
Single/ Group Delegate(s)	Single
Payment Mode	CCAvenue

Organisation Information

Organisation Name	-
City	-
Country	-
Telephone Number	-

Delegate Information (1 Delegate(s))

#	Name	Job Title	Email Address	Mobile Number	Delegate Category	Amount (Rs.)

Selection Amount:	Rs. 7000
Discount (0%):	- Rs. 0
GST @ 18%:	Rs. 1260
Processing Charges :	Rs. 248
Total (Including Processing Charges):	Rs. 8508
Total Amount Payable in INR(Including Processing Charges):	INR 8508

I have read and agreed to the all the terms & conditions and privacy policy of AI Bharat Health Mission 2026.

Registration Summary

DONE

TIN Number	-
Order ID	-
Tracking ID	-
Bank Reference ID	-
Payment Status	-
Payment Mode Used	-
Transaction Amount	-

AI Bharat Health Mission 2026 Event Registration Form