Register - Academy of Global Education (AGE) - Healthcare Educational Programs in Bangalore

Personal Information

Fullname *

Mobile Number *

Email *

Gender *

Professional Title *

Other Professional Title *

Hospital / Institution *

City *

Country *

Activity Requested

Select Program *

Mode of Payment

Select Payment Mode *

Payment Transaction Id

Bank Account Details :

Account Name : ACADEMY OF GLOBAL EDUCATION
Account Number : 1612606338
Back Name : KOTAK MAHINDRA BANK
IFSC Code : KKBK0008066
Account Type : CURRENT ACCOUNT
Branch : MG ROAD

UPI: 9916435352@kotak

Note : Kindly transfer the amount to the above account details to comfirm your registration.

Upload Payment Receipt

"Transfer of Activity to other date OR Refund of Activity Fee is not Allowed."

* I have raed and understood the above statement and responsible for any balance due