| Name
: |
__________________________________ |
| |
|
| Specialty
: |
__________________________________ |
| |
|
| Appointment
: |
__________________________________ |
| |
|
| Institute
: |
__________________________________ |
| |
|
| Address
: |
__________________________________
__________________________________ |
| |
|
| E-mail
: |
__________________________________ |
| |
|
| Tel
: |
_______________________
Mobile ___________ |
| |
|
| Find
Enclosed a Cheque / Draft of ____________________ Bank for Rs
____________ |
| |
|
|
Arriving
on ________ July
at _____h by ___________________
|
|
Leaving
on ________ July
at _____h by ___________________
|
| |
| |
|
| Transport
required : |
Yes / No |
| |
|
| Accommodation Required
: |
Yes /
No |
| |
|
| (Transport
and Accommodation will be arranged for army delegates and
outstanding Guest faculty only)
Invited guest
faculty need not register
| Registration
Fee |
| Civil
Delegates : |
Rs
400/- |
| Service
Delegates : |
Rs
300/- |
| PGs: |
Rs
200/- |
|
|
|
| All
Cheques and drafts to be made in favour of "ONCO
UPDATE-2006" payable at New Delhi |
| |
