Account Details

Basic info

Salutation*

First name*

Middle name

Last name*

Gender*

Age*

Country*

State

Email address*

Phone*

Please enter the mobile number without the country code

Password*

Must Contain at least 8 characters long, upper/lower case, number, special characters

Confirm Password*

How you got to know about this conference ?*

Other (Specify)

Which among the following initiatives would you like to participate? *

HealthON Challenge

R&D Conclave

Tech Challenge

I consent to share my personal information for the purposes of PhixAi event registration, communication and coordination.*