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Registration |
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Accommodation |
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| Contact Us |
Contact Persons:
Dr. Aswin Sayiram, Joint Secretary
Mobile No: +919884064466
Ms. Preeti Jha, Conference Co-ordinator
Mobile No: +919940636812
Contact Address:
Medical Computer Society of India,
A-113, Third Avenue, Anna Nagar,
Chennai-600 102
India
Telephone no: 91 44 26263378, 26263379
Fax: 91 44 26263477
Email : info@meditel2008.com &
meditel08@gmail.com
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Medical Computer Society of India |
| A-113,
Anna Nagar, 3rd Avenue, Chennai - 600 102, India |
| www.mcsindia.com
email : info@mcsindia.com |
| Tel
: 044 - 26207000, 26263378/79 Fax : 044 - 26263477 |
Membership
Form (Please Fill in CAPITALS) |
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| Full
Name (Underline Surname) |
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| Date
of Birth |
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| Sex
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Male / Female |
| Qualifications |
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| Address
for Correspondence |
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| Telephone
- Hospital / Office |
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Fax No. : |
| E-mail
Address |
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| Name
and Address of Hospital / Company / Institutions |
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| Areas
of Interest (Please Tick One or More) |
| 1. Medical
Education |
2.
Telemedicine |
| 3. Hospital
Management Information System |
4. IT
Healthcare Security / Legal issues |
| 5. Health
portals |
6. EMR |
| 7. Imaging
Solutions |
8. Healthcae
Business Solutions |
| 9. Medical
Transcription / Call centers |
10. Others
(Please Specify) |
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(Make
Cheque / Bank drafts payable to "MEDICAL COMPUTER SOCIETY OF
INDIA" & send it to the above address. List two Referees
for your membership with addresses / Telephone Nos and e-mail addresses
at the back of this form, otherwise membership will not be considered) |
| I will
abide by the rules and regulation of the society, if i fail to do so or
if do not pay my outstanding dues to the society my membership may be
cancelled at any time. |
| Place : |
| Date
: |
Signature |
| (Please note you will receive
an intimation of your membership status within three to four months of your
application) |
 Important Dates |  Social Networking |
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