Online Registration  » Download PDF Registration Form
 
June
2007

Detail

 Upto
15th April 		Upto
!st June 		Spot
Registration		 Total
22 Workshop 1200/- 1700/- 2000/-  
23-24 Conference 2000/- 2500/- 3000/-  
22-24 Conference & Workshop 2500/- 3000/- 5000/-  
25
Hands on Full Day Cource 5000/-
Selection from A / B / C / D / E
A. SUI & VVF Repair, B. Pelvic Floor Defect repair, C. Lap. Suturing D. Hysteroscopy E. Lap. Hysterectomy
   
Special
Package
I		 Conference With
Stay at
Venue		 Single 7000/- 7500/- 8000/-  
Double 5000/- 5500/- 6000/-
Special
Package
II		 Conference & Workshop
With Stay at
Venue		 Single 12500/- 13000/- 8000/-  
Double 8500/- 9000/- 9500/-
Conference registration is compulsary for workshop registration

 
 
 » Fill Below form for On line registration
Today's Date: 
Full Name: *
Age: *
Gender: *
Address:*
City:*
State: *
Zip: *
Phone(s): *
Mobile:
E-Mail ID:*
 
 » PROGRAM REGISTRATION INFORMATION
Select Program:*
Hands On Full Day Course:
 
 » PAYMENT DETAIL
Cheque/D.D. No.: *
Date: *
Bank Name: *
Branch Name: *
Current Amount:  INR
 » PAYMENT DETAIL
All Payments in Favour of "IAGE 2007". Payment can be made in following ways:
  • Cash
  • Cheques/ DD Payable at Ahmedabad.
  • Payment at local branch of Corporation Bank in your own city.(For making payments through Corporation bank, Please approach any Corporation Bank branch in your city & make the payment by Cash/Cheques in Account no. CB CA45 branch Code 460) Please preserve the original "Pay in Slip", stamped & signed by the bank. Send Photocopy of the pay in slip with your registration form.
  • To Find out your nearest branch of Corporation Bank in your city log on to
    http://www.corpbank.com/asp/branchlocator.asp?presentid=76
  • Online Registration will be valid only after your cheque is realised in Corporation Bank at Ahmedabad
 
 
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