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Registration Information

Workshop fee: Rs. 1000
The fee includes refreshments, lunch and the workshop materials.

Conference duration: - 2nd & 3rd October, 2010 (2 Days)
Register Here:
Name:
Age:   Sex: M F
Organisation Name:
Year of Establishment:
Address for Communication:
City: Phone:
Moblie:
E-mail:
No. of years of experience in private practice:
Current Practice: (Tick all that are applicable)
Self-owned practice
Group practice
Working under a private practitioner
Working in more than one institution
Working for a institution-based private practice
Working with government
Accommodation
Reservation will be made at our new international hostel,, Inspiration
Room type AC Non - AC Not Required
Single Room Rs. 700 Rs. 350
Twin Sharing Room
(per person) 		Rs.500 Rs. 250
(Reservation on first come first served basis)
Workshop fee should be paid in full by Demand Draft (D.D.) drawn in favour of Lions Aravind Institute of Community Ophthalmology payable at Madurai, Tamil Nadu.
Send to :
Ms. Dhivya Ramasamy ,
LAICO - Aravind Eye Hospital
72, Kuruvikaran Salai,
Gandhi Nagar, Madurai - 625 020,
Note:
The D.D is to be made only for the course fee. Payment for accommodation and other services availed
can be settled directly after your arrival