DASS SUMMIT 2026 Registration

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Title *

First Name*

Last Name*

Age*

Gender *

Designation

Speciality/Degree*

IADVL Number*

Postal Address*

Email*

Telephone No.*

Mobile No.*

PARTICULARS	AMOUNT
Registration Fee
Gala Dinner Charge
Cost of Accompanying Person(s)
Banquet Cost
CGST (9%)
SGST (9%)
TOTAL COST
GST (18%)
GRAND TOTAL
2.5% Bank Charges

Total Amount Payable:

Mode of payment

Account Name	IADVL
Account Number	44838564004
Bank Name	STATE BANK OF INDIA
IFSC Code	SBIN0003313
Branch	Patrapada Branch
Branch Address	Kalinga Nagar, AT and PO, Patrapada Stateorissa, Khurda 751019, Bhubaneswar, Odissa