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Dec, 2007 conference in In association with
Patiala
Academy Of Apthalmology
 


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Fill in the following form for online registration for the conference.
The confirmation will be mailed to you by the POS Office.
All field are mandatory

Name                  First Name Dr. 
Middle Name  
Last Name  
Gender   Male Female
Associate/Accompanying Delegate  
Address  
Phone Office  
Phone Residence  
Mobile  
Email  
Draft Number  
Dated  
Drawn on Bank  
Requisitions

 
   
 

   

Conference Registration Fee
Category Upto 15th November Spot Registration
Life Members POS Rs. 1000.00 Rs. 2000.00
Non Members Rs. 1200.00 Rs. 2000.00
Associate Delegates Rs. 500.00 Rs. 2000.00
* Post Graduate Student Rs. 500.00 Rs.  500.00


Draft in favor of
"13th Annual Conference Punjab Ophthalmological Society"
Payable at Amritsar.

PLEASE NOTE: OUT STATION CHEQUES ARE NOT ACCEPTED.
 


Click Here To Download Registration Form
 
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