Home - Aesthetic Medicine

FULL NAME *

DESIGNATION/TITLE *

CLINIC NAME *

MOBILE NUMBER *

E-MAIL ID *

LOCATION *

MEDICAL QUALIFICATION *

MEDICAL REGISTRATION NUMBER

IADVL NUMBER

NUMBER OF CLINICS IN YOUR CHAIN, IF MORE THAN 1 *

WHAT PRODUCTS AND SERVICES ARE YOU INTERESTED IN SEEING AT AMI 2026?

WHAT TYPE OF CLINICAL EDUCATION OR TRAINING ARE YOU MOST INTERESTED IN AT AMI 2026?

HOW DID YOU HEAR ABOUT AMI 2026? *

HAVE YOU ATTENDED THE EVENT BEFORE? *

WHAT NEW ARE YOU EXPECTING THIS YEAR?

National Medical Commission Registration Number

Are you a member of any association (IADVL, IAAPS, etc):

Yes

Association Name

Membership ID

Conference Hall

Zone 1 Aesthetic Discussions & Debates (these prices include both the days)

₹6000

This price is inclusive of 18% GST. Your badge will be generated on successful payment.
Zone 2 Workshop & Brand Showcase (these prices include both the days)

₹3750

This price is inclusive of 18% GST. Your badge will be generated on successful payment.
Zone 3 Growth Summit 2026 & Live Demos (these prices include both the days)

₹3750

This price is inclusive of 18% GST. Your badge will be generated on successful payment.
All zone access pass (these prices include both the days)

₹10800

This price is inclusive of 18% GST. Your badge will be generated on successful payment.

Coupon

REFER YOUR COLLEAGUE TO JOIN US AT AMI 2026