Registration form

Please fill up below details to complete your registration. Fields marked * are mandatory.

Personal Details

Contact Details


Registration Details

Accompanying Persons

Payment Deposit

  • Please deposit to the following bank account and upload the payment receipt:

    Bank Name: Punjab National Bank Lamphelpat RIMS Branch
    Bank account no.: 0652010098400
    Account holder: IAPMR Manipur State Branch
    IFSC Code: PUNB0065220

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  • Maximum file size: 1 MB