LTMMC 2000 Batch Reunion

LTMMC Reunion

🗓️ LTMMC 2000 Batch Reunion – Itinerary

Join us in Goa to celebrate 25 years of friendship and memories!

📍 Venue: Kenilworth Resort, Goa
📅 Dates: 26th – 28th December 2025

🚌 Arrival: Friday, 26th December 2025 – Check-in from 3:00 PM
🎉 Events: Fun, bonding, and celebration over 2 days
👋 Departure: Sunday, 28th December 2025 – Check-out by 11:00 AM

Full Name

Mobile Number

Email Address

Current Address

Address Line 1

Address Line 2

City

State

Pin Code

Country

Highest Qualification

Current Designation

Department

Current Institute / Hospital

Are You Married?

Yes

Is your spouse a doctor?

Yes

Spouse’s Name

Spouse’s Mobile Number

Spouse’s Email Address

Spouse’s Current Address

Address Line 1

Address Line 2

City

State

Pin Code

Country

Spouse’s Highest Qualification

Spouse’s Current Designation

Spouse’s Department

Spouse’s Current Institute / Hospital

Will any of your kids be attending the reunion?

Yes

Child 1 – Full Name

Child 1 – Age

Child 1 – Gender

Male

Female

Child 2 – Full Name

Child 2 – Age

Child 2 – Gender

Male

Female

Child 3 – Full Name

Child 3 – Age

Child 3 – Gender

Male

Female

Select Contribution Type

Solo – ₹30,000

Couple (No kids or kids <6 yrs) – ₹60,000

Couple + 1 kid (6–12 yrs) – ₹70,000

Couple + 2 kids (6–12 yrs) – ₹75,000

Couple + 1 kid (>12 yrs) – ₹75,000

Couple + 1 kid (6–12 yrs) + 1 kid (>12 yrs) – ₹85,000

Couple + 2 kids (>12 yrs) – ₹90,000

💳 Payment Instructions

Total Contribution Amount:

Please transfer the applicable amount to the following account:

Account Name: JAI PRAKASH HOSPITAL AND RESEARCH CENTRE PVT LTD
Bank Name: YES BANK
IFSC Code: YESB0000081
Account Number: 008163300001079

JAIPRAKASH HOSPITAL & RESEARCH CENTRE

UPI ID: yespay.bizsbiz91330@yesbankltd

Scan QR to pay via UPI apps

Note: The contribution is non-refundable. Kindly ensure correct details before making the payment.

After payment, please upload the screenshot below to complete your registration.

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Remarks

Privilege Card Registration

Are you a doctor?

25 Years Strong – From White Coats to Lifelong Bonds! Goa 26th - 28th December 2025

Registration Form

🗓️ LTMMC 2000 Batch Reunion – Itinerary

💳 Payment Instructions

LTMMC 2000 Batch Reunion – Registration Form

Currently, this feature is under process.

Please call on +91 9779 109 109 to book an appointment.

25 Years Strong – From White Coats to Lifelong Bonds!
Goa 26th - 28th December 2025