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55TH AOICON - 2003
REGISTRATION CHARGES
  Before 31st Aug., 2002 1st Sept. to 31st Oct., 2002 1st Nov. to 31st Dec., 2002 1st Jan. 2003 to Spot Registration
Delegates Rs. 2,000 Rs. 2,500 Rs. 3,000 Rs. 3,500
Spouse Rs. 1,500 Rs. 1,750 Rs. 2,000 Rs. 2,250
Children above 6 yrs. Rs. 1,000 Rs. 1,250 Rs. 1,500 Rs. 1,750
Post Graduate Trainees Rs. 1,500 Rs. 1,750 Rs. 2,000 Rs. 2,250
SAARC Country Delegates US$ 75 US$ 100 US$ 125 US$ 150
Other Foreign Delegates US$ 125 US$ 150 US$ 175 US$ 200
REGISTRATION FORM
[FORM A]

To:
Dr. S. K. Prasad
Organizing Secretary
55th AOICON-2003, Patna
Road No. 4, Kajipur,Patna- 800004, BIHAR.
Tel. : 0612-671073.

 Tel. : 0612 - 671073
E-mail : skprasad1@sancharnet.in
skprasad1@girija.online.net.in
 
Name: Sex: Age:
Institution: Designation:
Address: AOI Membership No.:
No. of accompanying persons:
Please find enclosed herewith a Demand Draftbearing No. drawn on for Rs. in favour of 55th AOICON-2003, Patna payable at Patna
Delegate / Post-Graduate Delegate Rs.
Accompanying persons / Spouse / Children Rs.
CME Programme Rs.
Banquet Charges Rs.
Foreign Delegates / SAARC Country Delegates US$
TOTAL   Rs./US$
Please register me for the Conference and inform.
Date:  
Tel.:  Fax.: e-mail:
 

NB: Demand Draft should reach us within 15 days of submission of this form else it will be invalid


Courtesy: GSK - Makers of Flixonase and Cetzine
 
 
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