Register For TS PSYCON 2021

Name *

Address *

Pincode *

Phone *

Email *

IPSTSB Membership No. (If Member)

Medical Council Registration No. *

Last Date for Regn. : 20Th July, 2021

Registration Price Category

* PG’s Registration form should accompany letter from HOD.
** IPS-TSB Members who completed 65 years of age by 30th June, 2021 are exempt from Registration fee.

Cheque/ DD No. *

Date. *

Bank *

Amount *

NOTE : Please pay your registration fees by DD/ Cheque drawn in favour of TSPSYCON (IPS TELANGANA).

A/C Name	:	TSPSYCON (IPS TELANGANA)
A/C No	:	863920110001148
Bank	:	BANK OF INDIA
Branch	:	Banjara Hills, Hyderabad-500034, Telangana.
IFSC	:	BKID0008639

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