Alumni Registration Form

Title

Surname

Firstname

Upload relevent Proof

Upload relevant proof for PGI alumnus identification(ID card/Degree copy etc.)

Username

E-mail / Login ID

Password

Verification Code

I agree to the Eligibility rules of the membership

Payment Instructions

For Life Membership, Indian Rs. 5000 for Indian Residents and for residents of other SAARC countries. $ 300 for all others.
Bank details are-
State Bank of INDIA, MEDICAL INSTITUTE branch
Account No.39103473905 in the name of PCAAS
IFSC CODE-SBIN0001524
MICR CODE 160002007

SWIFT CODE SBININB B443