IRACON & BJD INDIA CONVENTION 2008
CME PROGRAMME FOR RURAL MEDICAL PRACTIONERS
DATE: 28 NOV 2008 (FRIDAY)
TIME: 1030 AM - 6 PM
VENUE: SHIVRATNA MANGAL KARYALAY,
VILLAGE BHIGWAN (DIST PUNE)
INVITATION
REGISTRATION FORM
HOME
REGISTRATION FORM
BHIGWAN (PUNE),
28 NOVEMBER 08 (FRIDAY)
Fields marked with * are compulsory.
Prof.             Dr.            Mr.             Mrs.             Ms.
Family Name : *
First Name : * Middle Intial :
Qualification : GP      Physician      Orthopedic      Others   
Address : Street / House No.
Line 2 :
Village /Taluka : City :
State : Country :
Pin : Telephone 1:
Telephone 2: Mobile No. :
Email : *
Submit
You can visit website www.rheumatologyindia.org to complete online registration.
OR
You may Fax this registration to (91-20) 26334756
Post to CRD, Pune at: -
TO
Conference Secreteriat
Center for Rheumatic Diseases
11 Hermes Elegance, 1988,
Convent Street, Camp,
Pune-411001.
INDIA
Tel.:+91-20-26348291, 26345624, 26330706