Registration Form Print Page

Registration Type

Individual Corporate Student Overseas

First Name

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Last Name

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Address line1

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Address line2

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Organization

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City

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State

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Country

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Pin Code

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Phone

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Fax

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Workshop

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(Note: Limited number of Hotel accommodation at Rs 600 a night is available at Sri Ramachandra Medical Hospital Campus for delegates. Please send us a seperate request by letter.)

Overseas

	India and SAARC Countries
Payment for:	Individual	Corporate (for 5 members)	Student	For Overseas
Regular	Rs. 1500/-	Rs. 10000/-	Rs. 750/-	$250
On-spot Reg.	Rs. 2500/-	Rs. 12500/-	Rs. 850/-	$350
Workshops(one)	Rs. 500/-	Rs. 1000/-	Rs.300/-	$75
(A participant would be able to attend a maximum of two workshops only. They would be able to attend one topic from each Group.Group A : Biomedical Instrumentation or Bioinformatics. Group B : Medical Image Transfer or Searching for Medical Literature. Maximum of 50 participants per workshop - Please carry your own laptops for the workshop.)

NOTE: Members of computer society of India can avail a discount of 15% on Registration charges.

Registration charges will include:

Participant for all session of the conference.
All lunches and dinner
Delegate kit and Complimentary material.

Demand Draft-Details

Drawn In Favour Of	Medical Computer Society of India
Payable At	Chennai
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Amount	----------------------------------------------
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Name of The Branch	----------------------------------------------
Date Drawn	---------------------------------------------- (MM/DD/YYYY)