Conference Registration – UPHGCON 2026

Registration Form

Step 1 of 1

Event Selection

Event *

Category & Fee

Category *

Sub Category *

Select	Label	Start	End	Amount (₹)	Status

Note: Choose the appropriate fee slab as per dates.

Personal Details

Name of the Applicant *

Email *

Mobile *

Designation, Institution & Speciality (Please enter all three)

Upload University / College Employment ID PDF / Image, max 10 MB (if applicable)

Do you want to register for the workshop also? *

Yes

Address for correspondence (with pin code & State): *

Are you a life member of Uttar Pradesh Hematology Group? *

Yes No

If you are not a life member, you may leave this field blank.

Payment Details

Payment Mode *

Online / UPI

Cash

Account Name: NATIONAL HEMATOLOGY CONFERENCE

Bank: HDFC

Branch: BHU Trauma Centre, Varanasi

Account No.: 502 000 432 856 52

IFSC: HDFC0003945

MICR: 221240009

Please mention details of Registration Fees paid (Amount, Date, UPI/Transaction ID, Bank name)

Upload Payment Slip / Screenshot * Only JPG, PNG or PDF. Max size 5 MB.

Please upload payment slip first. By clicking "Proceed to Payment", you agree to the Terms & Conditions mentioned below.

Junior Residents (Postgraduates) to attach a certificate from the Head of the Department. Registration fee for Senior Resident is same as that of Faculty.
Registration fee once paid is nonrefundable.
Controversies/Refunds, if any, will be sorted out/processed 90 days after the conference.
The Organising Chairman & Organising Secretary reserves the right to decline registration to anyone without assigning any reason.

*T&C apply – Please check official communication / website for latest updates.